HomeMy WebLinkAboutPL 1977-1243 New Single Family n
Permit No. 143
FEE SCHEDULE
CITY BLDG.• "� CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT az-zn
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
S:
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR PAR REROOF R� SI �E MOVE WRECK SIGN
BUILD PLUMB. HEAT INS I ERO U
MARK .�
SQUARES rV I
BY X I -- ,, ,, tt ,,
Owner bfLtS `' Address . 1 44 t S -
Architect Address rw i 1 ,
C.oaac� - / Address : '�
Contractor Reg. No.
NUMBER STREET l SIDE BETWEEN WHAT CROSS STREETS
\ OWE- S—P9—?" 3t n•
LOT 1 BLOCK ADDITION OR TRACT
WIDTH I DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ''' ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I 1\
BASEMENT 0 YES
0 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