HomeMy WebLinkAboutPL 1978-1328 New Single Family FEE SCHEDULE
Permit No. , l tAsO
CITY BLDGI. cS,rQ(3 , CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE :St/ `` (For Dept. use only)
BLDG. PERMIT <a-S
CITY UTILITY
$XTFRNA4 PLBG• APPLICATION FOR PERMIT 3— a`1-ii
METRO S.A.C. '7
UTILITY CONNECTION p '.--- . 3 9 7 "
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLU B. HEAT INSTALL ALTER REPAIR REROOF Il� OOF RESIDE MOVE WRECK SIGN
— �. �. GN
50 U A R E 5 El BY X lL,ff ]]„11
Owner SCA) a r-- r Address
Architect Address
General Contractor R 14- A 1R P ` c l '.. Address ? ? U . ) 6-c LA e-vk k 1 : 3 , 1 < e R4
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 NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
O YES DETAILS OR REMARKS: // �- QQ Oy�(/O / i
BASEMENT 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
1 a 8" OK'D BY