HomeMy WebLinkAboutPL 1986-2540 New Duplex (15053 & 15055) � r
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FEE SCHEDULE Permit No. ....2-5—Ye)
s d �d CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. 439-4439 (For Dept.o,.only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. (P� �0
UTILITY CONNECTION 0 K t' 44 .), 114- F/ DDat-"e���'`'. s :�-IS 19
TOTAL AMOUNT DUE S / ‘77,"D •!�t STRUCTURE ED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REE OOF RESIDE MOVE WRECK SIGN
SQUARES n n n u u [ n
BY X
Owner -- Address
Architect Address
General Contractor — E Al Address
Contractor Reg. No.
NUMBER STREET SIDE l BETWEEN WHAT CROSS STREETS
/.S o 3-3 If
11'o 3-5�
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
• WIDTH Ir LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES
DETAILS OR REMARKS: //up-
�
BASEMENT — �,�J�"
y`
❑ 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 can bbe�issued.
OWNER/CONTRACTOR SIGNED)/Z "7 �u K
OK'D/BY