HomeMy WebLinkAboutOT 198x-1972 Re-roof FEE SCHEDULE
f,... Permit No/ ?7 1-CITY BLDGi. �� : rJ-� CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE • .5-6
(For Dept. use only)
BLDG. PERMIT /G s vL
CITY UTILITY a /< - 7.I. . S..11.46.1
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 19&_
UTILITY CONNECTION Date
TOTAL AMOUNT DUE
/-42--- -J
STRUCTURE USED AS
REFRG. HAN<.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REF RESIDE MOVE WRECK SIGN
SQUARES
Ei I
BY X
C
Owner �i ._ -- - _ i ��, _��' Address
Architect Address
General Contractor e-0 A , „ Address
Contractor Reg. No. (Y.--2‘),0 5/9 3)
o.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
FS0 - -
0 YES SET AILS OR REMARKS:
BASEMENT .
O NO ,4 4,, a_ le, r s O N 1-
.v
The undersigned hereby makes application for a permit to do Building Work as herein specified, a eeing t o all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village befor `rmit ca/ bee iis�sued..4
OWNER/CONTRACTOR SIGNED/ e v." "1-s
•,/
OK'D BY,