HomeMy WebLinkAboutPL 1987-2656 New Single Family ...
FEE SCHEDULE Permit Na.
�( CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. yL '7o (�� 439-4439 (For Dep..use only)
STATE SURCHARGE 'J d -
PLAN CHECK
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. O( (u� f� Date g( 5'f 197
UTILITY CONNECTION __`
TOTAL AMOUNT DUE e,2-2,J • STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE .WRECK SIGN
MARK (11�/[,�nl If-"'ll �7 — TI U
SQUARES
B Y X -- �—
Owner Address
Architect Address
��-tI,i4 ysc, 1 °Q"'+y neo»-a-13
General Contractor roS Address o
Contractor Reg. No.tR• . V^DLu W :%1_ a 'k.), 9 �G C Ives-i'c t Si1- sc-1 1"-- . 3 19-
NUMBER STREET b SIDE BETWEEN WHAT CROSS STREETS
5314 i C)T; \D wry No
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: tzr
BASEMENT
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 peri an be edL�!'�"_ ,/
OWNER/CONTRACTOR SIGNED 7/ ---
OK'D BY_