HomeMy WebLinkAboutBP 1983-2105 Addition FEE SCHEDULE / Permit No—'
CITY BLDG.. / 4 _s CITY I *A 'ARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 7 s
BLDG. PERMIT //i/ 4;e)
CITY UTILITY
EXTERNAL PLEG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 7hr 193
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner 7D-9‘/;1" 1)- 5: I/ Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
583'7 '2'2
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
75 ri9
BASEMENT DETAILS OR REMARKS:
YES /4= 04.J A 7; 0 A)
NO
Nov
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict acco dance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bfae can be ued.
OWNER/CONTRACTOR SIGNED
OK'D BY