HomeMy WebLinkAboutPL 198X-2427 Addition FEE SCHEDULE Permit No. ° * 7 /- 7
CITY OF OAK PARK HEIGHTS Plan Ho.
CITY BLDG. 439 -4439 (For Dept. use on l y )
STATE SURCHARGE � 11
PLAN CHECK !�
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 7 195
TOTAL AMOUNT DUE cz2" ?
STRUCTURE USED AS
REFRG HAN,
MARK BUILD PLUMB. HEAT INSTALL `— ALTER REPAIR REROOF RESIDE MOVE WRECK 5
SQUARES
BY X L /�J
—
Owner 2 ��^– Address
Architect " Address
General Contractor, r44 _ t :,� -,, Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/S / /7
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT O N
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED
��_.�- OK'D BY _�