HomeMy WebLinkAboutPL 1977-1210 New Single Family FEE SCHEDULE
Permit No. t ° •., b
CITY BLDG. � ` r 'C,94/ CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE a Z 7� (For Dept. use only)
BLDG. PERMIT 1.91)
CITY UTILITY
EXTERNAL, PLBG• APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Da(}�,Q }/ %, '(97/ /�
TOTAL AMOUNT DUE ■ O.4a�1 )
1 STRUCTURE USED AS HANG
R LL
MARK BUILD P HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE W�
\ I`---f1."I I � WRECK SIGN
SQUARES __ I V I _ -^
B Y X l 1 ^I I �.
Owner Mt., t Address I 4 - 1 ' 1
Architect Address
General Contractor . Pk au., ., ' Ula - Address 9q LA) ( ."_ LIZ- �/ , l
Contractor Reg. No.
li fa/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
I i-H'i 7 �s 7 2,t- IN
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: Q ^ � A 1 � / 6
BASEMENT 0 V t-
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