HomeMy WebLinkAboutOT 1986-2477 Residing FEE SCHEDULE �/7 2
/ Permit N
CITY BLDG. 'J�, - CITY OF - OA-k A�K HEIGHTS Pl on No.
439- 444444333988 (For Dept. use only)
STATE SURCHARGE J. 3
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ��/
UTILITY CONNECTION Date 19&_ •
TOTAL AMOUNT DUE , Y .3 , STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. MEAT INSTALL �^ _^ A LTER REPAIR REROOF RES MOVE WRECK SIGN
SQUARES -- ^^ n n n U
Br x
Owner GU,�/f! / P7S,,T/�a d.i Address 1yJy7 44 -f./// s7
Architect (/ Address " /
General Contractor X70 • yon► — Address K . if�.,� d 1�
Contractor Reg. No. (/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
iy..7y 7 4 37>l ter' Oki J > <I Y- o.?ti -•> MI ,/o-
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
1170 0
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ 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 before permit be issued. .
OWNER /CONTRACTOR SIGNED
OK 'D BY —