HomeMy WebLinkAboutPL 1978-1314 New Single Family FEE SCHEDULE 1 Permit No. V 1
CITY BLDG. C21.. . Q ` 0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE . I J'a (For Dept. use only)
BLDG. PERMIT {.S lJ
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT 1-3-
METRO S.A.C.
UTILITY CONNECTION D - i __ ly +?
TOTAL AMOUNT DUE �DC wl (
STRUCTURE USED AS
REFRG HANG
MARK BUILD PI.tJMB. HEAT INSITALL I I ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES lya /Yj` I U 7 7 U
BY X
Owner c) R Yn g S R u SS E L l- Address
Architect Address // / / I
General Contractor - m i b b. A _ Address 9 7 W U' aL18. vt hii Ke Rd
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
I /9_6 ,5S 7i ji..1) •
LOT BLOCK ADDITION OR TRACT
3 4- ./1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
0 No DETAILS OR REMARKS: ) .Q.--1/1 4/
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 _
Jo L/3 OK'D BY