HomeMy WebLinkAboutME 1981-1905 Oil to Gas Heating Conversion Permit No. 1�
F____ _____... SCHEDULE Pion No.
CITY OF OAK PARK HEIGHTS (For Dept. use only)
CITY BLDG. STATE SURCHARGE S ,
BLDG. PERMIT ^
CITY UTILITY
ELIZEILBJ. L PLBG• APPLICATION FOR PERMIT _ 19N METRO S.A.C• Date
UTILITY CONNECTION -4../PH/Lea
TOTAL AMOUNT DUE STRUCTURE USED AS
BUILD PLUMB. HEA INS HANG
REFRG. Ala REAR REROOF RESIDE MOVE WaK S
INSTALL- ❑ 7
MARK LUM -
SQUARES
BV % -_
Owner , , / / /2 4.t ._/
Address
Address
Architect Address
General Contractor
Contractor Reg. No.
SIDE BETWEEN WHAT CROSS STR TS
NUMBER
S;/57' i
/
S ;/� le y ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT _ _ ESTIMATED VALUE
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION I
STRUCTURE __ 5� -
DETAILS OR REMARK
0 YES .0 �t --
BASEMENT 0 NO i�j[La " ,"
/
I
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b fi i re per it ca be issued.
OWNER /CONTRACTOR SIGNE. -
OK'D BY _