HomeMy WebLinkAboutPL 1988-2761 New Single Family Permit No. --� L—
FEE SCHEDULE Pion No.
CITY OF OAK PARK HEIGHTS (For D _se onl
CITY BLDG. �`" �' U� n 439 -4439
STATESURCHARGE
PLAN CHECK
CI TY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
E
METRO S.A.C. Date (O 9
UTILITY CONNECTION lstt�+.n
SURE USED AS
TOTAL AMOUNT DUE r7- 7 • J G -
HANG
RE FRG ❑ ALTER RE�p�q IIR RER RESIDE Ma WOK SF
MARK
SQUARES
BUILD PLUMB. HEAT INSTALL
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❑ �j I
BY X �J
Address
Owner
Architect L' Address
General Contractor r �L U L11' a -�r�e ! Address
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
ADDITION OR TRACT
LOT BLOCK
( SIDE LOT CLEARANCE FRONT BUILCING LINE
WIDTH DEPTH
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION EST IMATED VALUE _
STRUCTURE
DETAILS OR REMARKS:
BASEMENT YES
i] 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 permit can be issued.
OWNER; CONTRACTOR SIGNED
OK'D BY _