HomeMy WebLinkAboutOT 1981-1910 Re-Roof Permit No. 9 /,
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG i. '�� (For Dept. nee only)
STATE SURCHARGE - /
BLDG. PERMIT / C. L,:?
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date / '/� 9 /
UTILITY CONNECTION , /[
f/L L�
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF - RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL �^ �- ^
SQUARES f I 1 I I I I I
BY X �_ 111 111 - - --'
OW ��C C' Address
Owner 3 6 r _
Architect Address
General Contractor
t Address 41-4,
Contractor Reg. No.
NUMBER ---- STREET SIDE BETWEEN WHAT CROSS STREETS
!.� $3
�J BLOCK
I ADDITION OR TRACT
LOT
l
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION 000.- ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT 0 YES
0 NO
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 befo per can ed. _ -
OWNER /CONTRACTOR SIGNED - _ u
OK'D BY _