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HomeMy WebLinkAboutPL 1979-1638 Remodel FEE SCHEDULE Permit No. /4-3/..' CITY BLDG. 13-LSO CITY OF OAK PARK HEIGHTS Plan No. STATE SURCHARGE .,v ` (For Dept.use only) SLOG. PERMIT /3. () S CITY UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT METRO S.A.C. ���777 bi/t1414' Gr� �7q UTILITV CONNECTION (� /Iv Date / i,"" 22/ 19 rTOTAL AMOUNT DUE I// tG-.' / ') STRUCTURE USED AS REFRG. HANG MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK� SI` GN SQUARES Ir'—,I Ir—,I ri BY X Owner IVME'S I VCA 1 Address t S R 3Q• S8 4L Ail F 0 P_A. Architect RA- Address General Contractor RA- - V\JIE Z PL 3 . Address 0�3 i (,04( AVE. 0.P H Contractor Reg. No. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS LS 33d S 14 AVE- LOT `TVf.LOT BLOCK ADDITION OR TRACT WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE BASEMENT 0 YES DETAILS OR REMARKS: S ©/0e-A/a. �r 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 rmit can sued.�OWNER/CONTRACTORSIGNED OK'D BY_