HomeMy WebLinkAboutPl 1977-1211 New Single Family PPlermit N No. � � ` 1
FEE SCHEDULE q CITY OF OAK PARK HEIGHTS an o.
CITY BLDGi. V (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY •
EXTERNAL. PLBG. APPLICATION FOR PERMIT J7
METRO S.A.C. D oa . t —/ ,J 19 /
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR REROOF RESIDE MOVE WREC SIGN
BUILD PLUMB. HEAT INSTALL U
ri
MARK ,� \�,/y� III
SQUARES I �r I I I l i 1 1 lJ
B Y X ww '' .� J '' nnyy 1 r
, ,.. Address (4 k01.3 r -
Owner Mt.- O - ""�
Architect Address (J
General Contractor
Q,- "Oa el A. Q t Q6 ,��(1G. Address a 1 7 w ( dQ n.,,t 1--..,f,, p'" ,
Contractor Reg. No. 90
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
) 6/`/23 LS 77 n •
ADDITION OR TRACT
LOT BLOCK ^^
b FRONT BUILDING LINE
WIDTH DEPTH SIDE LOT CLEARANCE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION
ESTIMATED VALUE
STRUCTURE �
DETAILS OR REMARKS: I `a (T--70 a”. 5°
0 YES
BASEMENT
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.
OWNERCONTRACTORSIGN
OK'D BY