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HomeMy WebLinkAboutOT 1986-2520 Concrete Drive & Sidewalks /, FEE SCHEDULE / Permit No...74S CITY OF •AK PARK HEIGHTS Plan No. CITY BLDG. ....5—Ye 439-4439 (For Dept.use only) STATE SURCHARGE i• Y 41 PLAN CHECK CITY UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT METRO S.A.C. UTILITY CONNECTION � Date 95)-/1--' 19a. / TOTAL AMOUNT DUE .l ,7 e STRUCTURE USED AS REFRG 6PIc.,yfLtl-i+ HANG -- - MARK BUILD PLUMB. HEAT INSTALL __ ALTER REPAIR RER❑OOF RESIDE MOVE WRECK SIGN SQUARES ,r. Ilfl �fl By x r _� ..- 5-aQiw,li5 Owner \P411 S(.Q tJ vCQ Address /C7S—Y37 5657 v/ 1 Architect dal. . Address y��//�� Al-- ( 7 General Contractor kirl[!ai , v. Address (C.73 OS.4t L, /�I_4! 0 Contractor Reg. No. O'' )?l' CV t Q .S —73,-...24'& NUMBER STREET SIDE 1 BETWEEN WHAT CROSS STREETS LOT BLOCK ADDITION OR TRACT WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT - WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE OC-GD 0 YES DETAILS OR REMARKS: BASEMENT ❑ 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 before permit ca be Issued! A OWNER/CONTRACTOR SIGNED OK'D BY