HomeMy WebLinkAboutBP 1987-2571 Remodel •
FEE SCHEDULE % Permit No.e,2S?/
S .1.1) CITY A F#K HEIGHTS Plan No.
CITY BLDG. 4.3.94 .9 (For Dept.use only)
STATE SURCHARGE
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �p�
UTILITY CONNECTION Date y 1982._
TOTAL AMOUNT DUE oJS i.s'V - STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
SQUARES n
I I N
o E n
Owner .. Address
Architect/ Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5511 -
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Ir
YES DETAILS OR REMARKS:
0 BASEMENT 0
0
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to all wor i strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village befor, rmit can a issued
OWNER/CONTRACTOR SIGNED
OK'D Y