HomeMy WebLinkAboutPL 1981-1901 Altrerations including inflammable waste trapFEE SCHEDULE
CITY BLDG,.
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG.
METRO S.A.C.
UTILITY CONNECTION
TOTAL AMOUNT DUE
/YS�O ('0 Sf' N•
CITY OF OAK PARK HEIGHTS
x fee
APPLICATION FOR PERMIT
F 2U-
Permit No.
Plan No.
(Foe D,1. a only)
Date 7- 9 19L
C:,,L .J
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT IN TA L ALTER REPAIR REROOF RESIOE MOVE WRECK SIGN
aDBY XEa ) D D❑ D D D D O 11 1:1 D
Owner Flt -a 172A CAC L« Address 3 5 SS 1 -45 `I f iI L-/
Architect Address
Ay id Con or .�Tl Address
Contractor
Contractor Reg. No.
—7 —1 C, —D C,)�? R
NUMBER
STREET
SIDE
BETWEEN WHAT CROSS STREETS
cu
0
LOT
BLOCK
ADDITION OR
TRACT
WIDTH
DEPTH
SIDE LOT CLEARANCE
FRONT
BUILDING LINE
LOT
WIDTH
LENGTH
HEIGHT
NO OF STORIES
TYPE OF CONSTRUCTION
I
ESTIMATED VALUE
STRUCTURE
BASEMENT
CI YES
❑ NO
,lj
DETAILS OR REMARKS!
tos-rA)l r-g4 Am AFIO WAyza
I v
TUJO
72E,,ca1 b rA Fitrcr n m)w
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stria accordance it
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D By —