HomeMy WebLinkAboutPL 1977-1209 New Single Family FEE SCHEDULE Permit No. +ao
CITY BLDG. ^ .00 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE �'-SS (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
Do /�/ �/ 197
J b 7
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PILUUMMB. HEAT INSTALL ALTER 11 REPAIR R U EROOF RESIDE MOVE WRECK SIGN
SQUARES \/� I TALL I I i
BY X L /v,l I 1 I TE I ( I [1 El
Owner t .Q-s& ....Q. Address I LV C 1 S - 4.4-N a. n
Architect Address
General Contractor RI-ThnA_ (..0 Lvt.a . Address ' 7 0 - 1 C.1 . . Io /2
- !,
Contractor Reg. No. VV
NUMBER 7
STREET SIDE BETWEEN WHAT CROSS STREETS
l #33 - SS 7 -1l
LOT BLOCK ADDITION OR TRACT
1 I C low,
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
1
DETAILS OR REMARKS:
,
BASEMENT f 6 , orLa✓t. iD 3 3. S
❑ 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