HomeMy WebLinkAboutPL 1984-2294 New Single Family FEE SCHEDULE Permit No.
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLOC. 2 �' 439-4439 ror a�
S7ATE SURCHARGE
PLAN CHECK
C17Y UTILITY
EXTERNAL PLDG. APPLICATION FOR PERMIT
METRO S.A.C. /�-
UTi L37Y CONNECTION.----- Date _.._.� 19 YX
TOTAL AMOUNT DUE O�- 2 - 5 STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB- NEAT INSTALL. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
5 �9Y 7(ES ❑ ❑ El ❑ ❑ D E D ❑ ❑ 1 D
Owner . _ 1 — _. Address
Architect (� Address _
General Contractor °- Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS ST REETS
A - - e l
LOT BLOCK ADDITION OR TRAC
WIDTH DEPTH W SIDE LOT CLEARANCE FRONT BUILDING LINE �..
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES I TYPE OF CONSTRUCTION ESTIMATEQ VALUE
STRUCTURE
0 YES DETAILS OR REMARKS:
BASEMENT
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 hefo e p it can be issu
O'W'NER /CONTRACTOR SIGN EE}� `� C " ' <
f
OK'D BY