HomeMy WebLinkAboutPL 1978-1408 New Single Family FEE SCH DUL Permit No. I
CITY BLDG.. a CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r (For Dept.one only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLED.
APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D — (=1 -/i{�J191a
-
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES1-16j 1 II7
I _— _—
BY X
OwnerG_e —/ .L Address 1 LO ` t ~' , j `Qy't h
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Architect p v Address EU.)
LLt1U..
General Contractor c3_&. & Address RA--
Contractor Reg. No. 0-12--0VI�
NUMBER STRE `�N t, SIDE BETWEEN WHAT CROSS STREETS
% a_ ., OjtCk PIACI-
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
O YES DETAILS OR REMARKS: ,( �r19 )
BASEMENT `
0 0
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