HomeMy WebLinkAboutSI 1981-1899 Sign - Ethridge Tire Center FEE SCHEDULE Permit No. /8/
CITY BLDG. CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept.use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. G�
UTILITY CONNECTION
Date 19(�y
/
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE LODE
WRECK SIGN
U
L ARES [1 i7 E
BY X
Owner _ _ _ Address
Architect / Address
General Co act. _ Address
Contractor Reg. No.
oz/86—‘,7/1
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/6G/
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
0 YES DETAILS OR REMARKS: �a /
BASEMENT
0 NO /� _ . ,ei„
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work' strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the villag- before permit can berissued.
i
OWNER/CONTRACTOR SIGNE■ / ✓ A�
OK'D BY
•
•