HomeMy WebLinkAboutPL 1977-1242 New Single Family FEE SCHEDULE�7� Permit No. I�`t'�
CITY BLDGO f'�c. 1 ,C3 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE L S.v� (For Dept.use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �(
UTILITY CONNECTION '� 1 1911
to
TOTAL AMOUNT DUE
STRUCTURE USED AS
-- - REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR RERCOF RESIDE MOVE WRECK SIGN
SO BY XES n n n
l
Owner --.0-a"^% Address 5.-1-) t l GLA-1"--% CL,.. ''Zh .
Architect Address �n
Gsr+eratContractor PAI ` � J) '• Address` � 2,Lc. I Co . g�2�dL
Contractor Reg. No. C.1,/v/ c.-:"s.— ) (ki.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
3 1
WIDTH DEPTH SIDE LOT CLEARA E FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT 0 YES DETAILS OR REMARKS: 11, .;:,,ta_.. ..,,,/j
0 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 permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY