HomeMy WebLinkAboutBP 1977-1272 Deck FEE SCHEDULE Permit No. I , Zi •
CITY eLDGi. 5-5 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 4 (For Dept. use only)
BLDG. PERMIT • 6
CITY UTILITY
EXTERNAL PLBO. APPLICATION FOR PERMIT
METRO S.A.C. A
UTILITY CONNECTION Date • -�� 107
TOTAL AMOUNT DUE Q � 1 �.n � `g �
STRUCTURE USED AS
REFRG HANG
BY X B I L,D PLUMB. HI EAT I I ^I INSTAL A
MARK
L ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
S Q U A R E S ' r `JPII U I ^I IT
Owner Qd&— Address 14 L - \ , Slo .1 .n.
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT Al-VIA, ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE •
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 00
CDZO
BASEMENT 0 YES OU — '"�
/ o ,-- DETAILS OR REMARKS: A SO
O NO e► , e, .s ... a
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 fn t e issu
OWNER /CONTRACTOR SIGNEDr %"
OKD B