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FEE SCHEDULE Permit No. 1312-
CITYBLDG. /`S; CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE i-7� �� (For Dept.use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date i(,i.wi.• 4 19 l
TOTAL AMOUNT DUE ch Dr.C_,
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
UABYRESX v ^_
SQI U
Owner 3h.tite. sictwvz,.. (\l,111,- Address se,in 6Mtthtom. n. t . .
Architect (J Address
General Contractor Ai Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
64016 °AU/L. du— R.
LOT BLOCK ADDITION OR TRACT
I a 1 . S ma .
k
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT U
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Pi A^7 / 1p C 00. I/uH -i d f3oo.I
BASEMENT
p YES DETAILS OR REMARKS: .bidt.. i
(t.
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 villagbefore permit can be issued.
OWNER,CONTRACTOR SIGNED JtJ
tr)At A. L4. i.b L.
OK'D BY