HomeMy WebLinkAboutOT 1986-2524 Re-Roof FEE SCHEDULE fl/ / , Permit No.„;S oz J
CITY OF • •K P-13 HEIGHTS Plan No.
CITY BLDG..0.-'13 439-4439 (For Dept.use only)
STATE SURCHARGE ,7A ,
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 2/ �,�,/)
! '� �7131.2
TOTAL AMOUNT DUE 33/ /C) Ie- ' STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SI N
SQUARES X S n n n n K U U
Owner /e,,.ka 26)./A Address
Architect Address
General Contractor Address
_ZA.....e2t=_,&;F,_________
Contractor Reg. No.
NUMBER STREET I SIDE BETWEEN WHAT CROSS STREETS
/ysfs 7- Ill
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
0 YES DETAILS OR REMARKS:
BASEMENT
0
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 befor- = mit can be issued.
OWNER/CONTRACTOR SIGNED _.../ .„0 L....:�L/
OK'D BY _ 4 I