HomeMy WebLinkAboutPL 1980-1684 Remodel FEE SCHEDULE
y e>-O CITY OF OAK PARK HEIGHTS Permit N No.
J�°8
CITY BLDG. t Plan it N
STATE SURCHARGE # c9 (For Dept.use only)
BLDG. PERMIT 9rs
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
Date /1— i 19 YO
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT INSTALL l�'� I ALTER REPAIR REROOF RESIDE MOVE WRECK 5 NN
SQUARES 11 X fl I I I I 11 n n _ 1 1 _
BYX l I I I '
Owner..44.4....f 1l_-4�.,tit/ Address
Architect Address
General Contractor Address
Contractor Reg. No.
43?---s3z7
NUMBER STREET SIDE
Q � BETWEEN WHAT CROSS STREETS
SF 6 CO 2.v_-ox,,r/ )c..�, ,
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 ❑ YES DETAILS OR REMARKS:
❑ NO �°�7��4��..
The undersigned hereby makes application for a permit to do Building Work as herein specified, .reefing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before p- m' be issued
OWNER/CONTRACTOR SIGNE• _ A 1
OK'D BY__ 'Ci...J ,,,