HomeMy WebLinkAboutME 1977-1303 Oil Burner Boiler (Change out from GPH Unit) FEE SCHEDULE Permit No. 1 (:)
CITY BLDG. CITY OF OAK PARK HEIGHTS Plan No.
(Por Dept. use only)
STATE SURCHARGE _ : lc.' BLDG. PERMIT
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION to 1 - , 1 911
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEEA II
HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE W S IGN
SQ UA X E I I I t..-PJ l I f f ^ �_ a I f __
Owner 1:j 1rn a a^��fSc Address `L-k.Io 1 — `, +h S-f ' i) '
Architect r ,� Address
Q��
General Contractor Q_ t 4-- .A. Inc\` - C• Address tS
Contractor Reg. No. Uta.rek321--C
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14ok 5 T ht--k S-r 11 • Z
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT ,NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
p YES DETAILS OR REMARK yn ...Q L i Gpk}l�
BASEMENT Q NO A a.h' - ( to 1.1) 1 y t��-C _i....+ � s Vl — '1L, q Q
3 1 . 0 . 14000 � ►i
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