HomeMy WebLinkAboutPL 1979-1379 New Single Family i
FEE SCHEDULE Permit No. 1;19
CITY BLDG. -1. \ CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE iSt �+ (For Dept. use only)
BLDG. PERMIT ? I 'S1:)
CITY UTILITY
ME TFRNAI, PLEG. APPLICATION FOR PERMIT t
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METRO S.A.C. _ —b --1 %
UTILITY CONNECTION D � - --tirr--- 19,
TOTAL AMOUNT DUE
J
STRUCTURE USED AS
REFRG HANG
MARK Q BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
S ❑
BY X
Owner ' � I \ ��� �� Address 14 k — ( S - 1
Architect Address ' / `
General Contractor Address s _ w ` t ( 1
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Contractor Reg. No. • I ' \ L.rN.9..e s01 t i—
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
t t A- \. — Sa .
LOT BLOCK ADDITION OR TRACT
4 .
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ( ,
BASEMENT
0 YES """�1 Q'c IQ DETAILS OR REMARKS: J n / , / {��en r e
Q NO � , y .25.-11 R.1 r�r R . ` Y
"13 6.0Ot
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 issue .
i ntili /142.ti OWNER /CONTRACTOR SIGNED
1� OK'D BY
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