HomeMy WebLinkAboutME 1979-1662 - Apartments /k/e3-0 6-1lt '`st.
FEE SCHEDULE Permit No. ta L
CITY BLDG, S'a CITY OF OAK P 7GHTS Plan No.
STATE SURCHARGE •�0 (For Dept.use only)
BLDG. PERMIT C �/
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION ,n Date 1/:6 ,I !
TOTAL AMOUNT DUE eget `A 0
l' STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL q��R R�PAIR R�RO�F RESIDE MOVE WRECK SIGN
.... SQUARES IrA,A(yly'
BY X
Owner; � r / 8d� Address ' 1-+,051--P
QArchitect Address
"EK'contractor �� 4 aSQ Address ��L t� �ji Yez.4,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
BASEMENT 4 YES DETAILS OR REMARKS:
p 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 befog permi an be issu .
OWNER/CONTRACTOR SIGNED CJ\
OK'D BY ��