HomeMy WebLinkAbout1986-03-26 to 04-06 Banner Permit i
FEE SCHEDULE / / Permit No."Z 51/
CIT ' • F 0' • • RK HEIGHTS Plan No.
CITY BLDG. 439 -4439 (For Dept. use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION ;3 — tl Date Z.
TOTAL AMOUNT DUE STRUCTURE USED AS
REFRG HAN<
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES II ^I
BY X 7 Fl 17 -
C
Owner Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ O ---��
l .
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
0 YES DETAILS OR REMARKS:
BASEMENT
-
❑ 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 befor permit can be i
OWNER /CONTRACTOR SIGNED al- c-sii :-1
OK'D BY