HomeMy WebLinkAboutPL 1977-1256 New Single Family Permit No. �
FEE SCHEDULE
CITY BLDG.. 2 3.04 CITY OF OAK PARK HEIGHTS Plan No.
�... (For Dept. use only)
STATE SURCHARGE a7
BLDG. PERMIT .23
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date P.....0 /0 19?7
TOTAL AMOUNT DUE 1411 ~1 �2
STRUCTURE USED AS
C
REFRG HANG
BUILD PLUMB HEAT INSTALL .
. I ALTER REPAIR REROOF RESIDE M� W� E K SIGN
MARK Dr I ^ 7I 7 I I
SODA RES ���y�
BY X [J
Owner
40-(...cal d Address /5
7`�
O 7 ms —
Architect Address
General Contractor AlAill Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/4/92g 7 S'S` V
LOT BLOCK ADDITION OR TRACT
/
WIDTH DEPTH SI LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS:
BASEMENT
0 NO /Q &mum)
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 I4 AP ( ° :,wL//��,
0 K'D BY ZA• MOO
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