HomeMy WebLinkAboutPL 1978-01313 New Single Family FEE SCHEDULE Permit No. P) J
CITY BLDG. 071 y-O_O CITY OF OAK PARK HEIGHTS Plan No.
J� (For Dept.use only)
STATE SURCHARGE t
BLDG. PERMIT to 1•JO
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT I --.3 18
METRO S.A.C.
UTILITY CONNECTION Dr
aji— 197_7
TOTAL AMOUNT DUE
'STRUCTURE USED AS
REFRG HANG
MARK L
Y
BUILD PLUQ1B. HEAT INSTALL I ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARESLi
1 I n 7 Li
BX
Owner Pr,n a Q F J 1 0 t Address
Architect II Address
General Contractor Q 4-1111A R P F.L 3, TAG. Address q`^7 6-c 1'<1 c r hi ke Rd.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
)L/,C.93 a b /,t—i I)
LOT BLOCK ADDITION OR TRACT
1 q ,,, -- .s-.u-, Com.
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
. LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: '
BASEMENT 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
/022 OK'D BY