HomeMy WebLinkAboutPL 1978-1306 New Single Family ,/■,,, /'''''''',,
. .
FEE SCHEDULE Permit No.
CITY BLDG.. C.1 .0 CITY OF OAK PARK HEIGHTS Plan No.
-C1 (For Dept. one only)
STATE SURCHARGE (
BLDG. PERMIT —leS
CITY UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. —. .
UTILITY CONNECTION _____ T 19.22._
.—
TOTAL AMOUNT DUE -- ' C..0
STRUCTURE USED AS
REFRG HANG
BUILD PLU HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SI N
MARK
SQUARES I 1 1 I 1 .---'
BY X
Owner ,5 te lc e_ S c_ it u 4. T.Z. Address
Architect Address
General Contractor 9 A- YV1 IA R Pkb6, i etc Address q 7 i -A.. 6-0 4414 vl /■ f
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14 act% . 5 -- i-lr■ ,-k -
LOT BLOCK ADDITION OR TRACT
--k-g-, a_atvk
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: $7
/044--14A-ljil
BASEMENT 0 YES
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 permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY