HomeMy WebLinkAboutPl 198x-2428 5 Plumbing Openings FEE SCHEDULE Permit No. Y —k
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. /�, C-'""9_ 439-4439 (For Dept. use only)
STATE SURCHARGE / v '
PLAN CHECK D Y� +
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / �d 19_!
TOTAL AMOUNT DUE /2 -S C) STRUCTURE USED AS
REFRG HANC
MARK BUILD PLUMB. HEAT�� INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES Vi I I n �y -- 1 I I I f
BY ` I l I I ,
6) � � �.�23
Owner Address
Architect _ Address
General Contractor /e,�&-c, -9 Address
•
Contractor Reg. No.
NUMBER /� STREETT SIDE BETWEEN WHAT CROSS STREETS
(J 4:-‘,I—C- -
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
p YES .DETAILS OR REMARKS: S
„__4...;7.2....)
B
.70-e--*
ASEMENT O
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all r in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit can be' ed. / r
OWNER/CONTRACTOR SIGNED 1-141- I
OK'D BY_