HomeMy WebLinkAboutPL 1978-1305 New Single FamilyFEE SCHEDULE
CITY BLDG,.
STATE SURCHARGE tJ>r.//�
BLDG. PERMIT 1Yv
CITY UTILITY
EXTERNAL PLBG.
METRO S.A.C.
UTILITY CONNECTION
TOTAL AMOUNT DUE
CITY OF OAK PARK HEIGHTS
APPLICATION FOR PERMIT
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MARK BUILD PLUMS. HEAT IN$TA1G
SQUARES
qUARES ❑ ❑ ❑ ❑ ALTER REPAIR R0EROOF
BY X
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STRUCTURE USED AS
RESIDE
AVE
WRECK Ha
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Owner Y N
Address
Architect
Address '
General Contractor - YYl xLP QL. E] � c . Address
Contractor Reg. No.
LOT BLOCK
ADDITION OR TRACT
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WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES ITYPE STRUCTURE 1 11
OF CONSTRUCTION ESTIMATED VA
BASEMENT O YES DETAILS OR REMARKS:
O NO EE
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
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