HomeMy WebLinkAboutSI 1980-1679 Sign FEE SCHEDULE Permit No. IC 77
, HEIGHTS Plan No.
ST
CITY OF OAK P, '
S STATE TE S B DG. SUR CHARGE ^ / / (For Dept. use only)
AUR `I S'0 / ,�
BLDG. PERMIT J
CITY UTILITY
EXTERNA PLBG• APPLICATION FOR PERMIT
METRO S.A.C. Q�
UTILITY CONNECTION 1 r Z
Date / 19 t +a
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
BUILD PLUMB. HEAT INSTALL RE FRG ALTER REPAIR REROOF RESIDE MMOVE W�K SIGN
INSL I MOV 12] MARK ^ 7 n —
SQUARES I`
BY X -- -
Owner -S Q) 4 £ E C ,#4L 7'1 z/C.Address . s- - (')M /,LAig 1; 0 - AT .
Architect Address •
General Contractor Address
Contractor Reg. No:
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT ADDITION OR TRACT
I
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 4 5 061C-2--
DETAILS OR REMARKS: I
BASEMENT ❑ YES I
❑ NQ
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. /
400 OWNER /CONTRACTOR SIGNED i — Ate