HomeMy WebLinkAboutPL 1979-1582 New Construction FEE SCHEDULE Permit No. /5
CITY BLDG. cZ /0-d CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 'SD (For Dept. use only)
BLDG. PERMIT 140
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.G.
UTILITY CONNECTION 11�� �p _
TOTAL AMOUNT DUE
G) /L e� �� Date �� 19
STRUCTURE USED AS
REFRG HANG
MARK W
PLUM EPA
BY X IUILi PL MEAT INSTALL ALTER REPAIR RE ROOF F RE`IDE MOVE WRECK SIGN
SQUARES UM `I I - 1 I tl P A _� C
Owner ril 7 00--k / -C6 Address
Architect Address
General Contractor R k I YI c• Address 97 cc) (7"O eyl ,(,A.lr Contractor Reg. No.
75/‘-was""
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
U-4iL 7:-A p, i
LOT BLOCKU ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT YES DETAILS OR REMARKS:
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 can be issued.
OWNER 'CONTRACTOR SIGNED
OK'D BY _ •.1