HomeMy WebLinkAboutME 1980-1727 New Single Family FEE FEESSCHEDULE
CITY BLDG,. , � CITY OF OA ARK HEIGHTS Plan Permit No. 7eZ 7
STATE SURCHARGE S O (For No.
BLDG. PERMIT��� (For Dept.
CITY UTILITY
EXT RNA PLBG.
METRO S.A.C. APPLICATION FOR PERMIT
UTILITY CONNECTION �'�
TOTAL AMOUNT DUE Date 19 (//�
STRUCT USED AS mot/
MARK
BUILD PLUMB. HEAT INSTALL SIGN
ALTER REPAIR REROOF RESIDE
E
SQUBVR(ES 0 I I TeK I EPAIR gOF RMpVE WR^CK HANG I I n 1 _
Owner , r� _ �J
Air Address �7 �S`.T
Architect
Address
General Contractor
Address
Contractor Reg. N. �
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT DETAILS OR REMARKS:
O YES
... O NO
111111111r0 1 "'MI.' /
The undersigned hereby makes application for a permit to do Building Work as herein specified, a 'ng to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo it can be i .
OWNER /CONTRACTOR SIGNED
•
OK'D BY