HomeMy WebLinkAbout1983-12-09 to 20 Banner Permit FEE SCHEDULE , - Permit No. e=2 7/s.
CITY 0 OAK PARK HEIGHTS Plan No.
CITY BLDG. 439-4439 (For Dept. use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date /A/7 �9a
TOTAL AMOUNT DUE 1,/ / >y,243 STRUCTURE USED AS
REFRG HANC
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n n __ u
BY X
Owner Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
---ts
6 S 94
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
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to •- all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village be = - 1a i A... -s11-.J
OWNER/CONTRACTOR SIGNED -
OK'D BY