HomeMy WebLinkAboutBP 1987-2565 Addition FEE SCHEDULE Permit No. C77
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. /4° a-' \ V/\VI ft 439_4439 (For Dept. use only)
STATE SURCHARGE ' o \
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date ` c 19 ?7
7
TOTAL AMOUNT DUE Al, S v STRUCTURE USED AS
REFRG HANG
MARK a
AR �r�1 BUILD PLUMB. NEAT INSTALL ALTER 'REPAIR REE R a 00F RESIDE MOVE WRECK SIGN
SQUARES � IY - — BY X
{1bD.
Owner T 2E / / /r t* -!LLB$ Address / , s4 7 .Sr /Jo
Architect Address
General Contractor Q7 ._...`ILA✓ Address
Contractor Reg. No.
71`• 7
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ / O s6 "/ 5 r A✓o
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
5600.00
BASEMENT O YES �"- GL - DETAILS OR REMARKS:
❑ NO
•
The undersigned hereby makes application for a permit to do Building Work as herein specified, a. 1 -ing to do all work i • ict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the yillage for Omit ca • ' • ed.
Iv OWNER /CONTRACTOR SIGNED i / F " r
OK's _