HomeMy WebLinkAboutBP 198x-2357 Siding & Soffit Repair 4 / ,
FEE SCHEDULE / / Permit No. 02 7
CITY BLDG. � , S CITY •F ' AK PARK HEIGHTS Plan No.
439 -4439 (For Dept. use only)
STATE SURCHARGE V S 7
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. / UTILITY CONNECTION Date 19 c
TOTAL AMOUNT DUE e I, D 7 STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL _^ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES _— f _ f —
BY x E
/
Owner - 1 -- - Address
Architect 7 Address
General Contractor �� ,, a _A—) Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ (y9, 5 -t-`'
LOT L CK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE //Sea _ r!�
Q
DETAILS OR REMARKS:
O YES
BASEMENT NO G . 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 villa e b e permit can be issued. ''
OWNER /CONTRACTOR SIGNE
OK'D BY