HomeMy WebLinkAboutME 1978-1421 Fireplace FEE SCHEDULE Permit No. 1 4
CITY BLDG, 1S-00 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
1 ,1 (For Dept. use only)
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BLDG. PERMIT lS Ib
CITY UTILITY
EXTFRNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 1
UTILITY CONNECTION D ,,g
TOTAL AMOUNT DUE 1
STRUCTURE USED AS
REFRG HANG
MARK
BUILD P HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIN
SQUARES l I _. ^' I(-�I a C,
BY X
Owner &M— Address 14 % S 144.1_h•
Architect Address
General Contractor � ���k_'_ . ' ' • r► V Address ■ • L _ ' ' VMS
Contractor Reg. No. • 1 � '1 ' S 3 V
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
I i
LOT 8 K ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE IS6 0 6.--
BASEMENT 0 . YES DETAILS OR REMARKS: � • t ■ ` , •
'
�, �t�ucQ LL)Li , 0 ' 1 � 1. 0
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 _elk �,%�"� ` ' '
OK'D BY