HomeMy WebLinkAboutBP 1980-1751 Pool FEE SCHEDULE Permit No. / 7
CITY BLDG. 4/...5-0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT S>1 r TO gf07
CITY UTILITY
FXTFRNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 2 7�y((`�
UTILITY CONNECTION Date _/ 5 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. NEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I ��� 1 I I I r7 �r
BY X l I Il I —�
Owner .-----
l Address
Architect Address
General Contract. /_, - __ I— ' ' ddress
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
AZ v 7 ? c=' ,# .
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 d.� ----C)
DETAILS OR REMARKS: ,
BASEMENT 0 YES
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all k in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the villa It can be is
OWNER /CONTRACTOR SIGN
OK'D BY _