HomeMy WebLinkAboutBP 1986-2537 Waterproofing FEE SCHEDULE Permit No. �J '3
�—y e'-111 CITY 0 0 K PARK HEIGHTS Plan No.
CITY BLDG. / 3 439_44' 9 (For Dept. one only)
/ A
STATE SURCHARGE L. / d
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date _ "/j 7 l
TOTAL AMOUNT DUE ✓ r/i ✓d STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL 2 ALTER REPAIR REa F RESIDE MOVE WRECK SIGN
SQUARES — I ^I
BY X
Owner � Address
Architect Address
General Contractor �4a dress
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
7
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
O YES "4 DETAILS OR REMARKS:
BASEMENT O
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 i ed.
OWNER /CONTRACTOR SIGNED)( b
OK'D BY ___