HomeMy WebLinkAboutPL 198x-1981 8 Plumbing Openings FEE SCHEDULE Permit No. /9K/
CITY BLDG. /9.'60 77 CITY,OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE •7v ,fl /rj , l�t """ (For Dept. use only)
BLDG. PERMIT /91'-01
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CITY UTILITY
EXTERNAL, PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date iS 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANi
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGs
SQUARES
B
ri
Y X t
Owner /''.'F Ate) e/A,e , - 1/3--.10' Address e 4:,X 6-3° S'7`-v��
Architect Address
General Contractor Address
Contractor Reg. No.
I - 1_(. • 71 a
NUMBER STREET 1 SIDE BETWEEN WHAT CROSS STREETS
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
BASEMENT
Q YES DETAILS OR REMARKS:
Q NO
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 beforr an b ited.��/v
OWNER/CONTRACTOR SIGNED
OK'D BY