HomeMy WebLinkAboutBP 1977-1288 New Single Family FEE SCHEDULE Permit No. PA
CITY BLDG. Y4-.1.2 CITY OF OAK PARK HEIGHTS Plan No.
./ `� (For Dept. one only)
STATE SURCHARGE �J — }�
C ITY
BLDG. PE, PERMIT We,tc3
J6 - 11
METRO S.A.C. PLBG. —6-1S QO APPLICATION FOR PERMIT
METRO S.A —f �1
UTILITY CONNECTION J 00• Date / /) 19- TOTAL AMOUNT DUE ` V RE USED AS
•
HANG
BU
REFRG
MARK
SQUARES � ILPLUMB.
^ D PHEAT INSTALL ALTER REPAIR REROOF RESIDE L I I E MOVE WRECK SIGN
(�-'� I ^I I(_"II ^I I ^� 7
BY X --
Owner wry eft., r Address
Architect �{ Address
. 5-011 . 5-0114-0 v A
General Contractor ' c'/II J 4" r- Address .7 f d M Aiif 4
Contractor Reg. No.
NUMBER STREET 1 SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT C LEARANCE FRONT BUILDING LINE
LOT 16 / 2J TH ` / 6 f -/6 / B,, /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 7,_ •V ,1IJ / j, /
---i2.9r�J� . 9 00 c
DETAILS OR REMARKS:
BASEMENT 0 YES �—� yy ,
NO a- t/X -Y ,7 't 1 H
The undersigned hereby makes application for a permit to do Building Work as herein specified, a eing to do all work in strict accordance ith
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor ermit can be issu
OWNER /CONTRACTOR SIGN
OK'D BY