HomeMy WebLinkAboutME 1980-1806 Alteration FEE SCHEDULE Permit No. �OQY
CITY BLDG. (30•DV CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 05-0 (For Dept.use only)
BLDG. PERMIT ______7l
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date - A / - 19 Ka
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
BY X BUILD PLUMB. MBE-AA T� INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN-SQUARES f —. I V I I I —• 1 J U U
Owner - Ti4v/e di!' iPT Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET _ SIDE J BETWEEN WHAT CROSS STREETS
5 ct PENFIEL.L∎AVEALts. ll
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: T CAST' /2670..
❑ 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 can b
OWNER/CONTRACTOR SIGNED
OK'D BY