HomeMy WebLinkAboutOT 1979-1614 Shed FEE SCHEDULE Permit No. .. (
CITY BLDG, .. c CITYtt • • K - ARK HEIGHTS Plan No.
STATE SURCHARGE . / (For Debt• use only)
BLDG. PERMIT .„ fJ
CITY UTILITY
EXTFRNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ''7
UTILITY CONNECTION Date � � 1975
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. S,A HANG
MA
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SI GtJ
SQUARES C _.
Owner �-,Q � , OLS 0 Address /V71 C.C. S7" /7111-4. �
Architect Address
General Contractor Address
Contractor Reg. No.
/ a �
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
// /S SS S 4Y0 , 1LI
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 s0 O. C O
BASEMENT ❑ YES
DETAILS OR REMARKS:
❑ 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 befpsg r
it_c0l b
OWNER /CONTRACTOR SIGNED llbb°°�� OO�_IIYY
OK'D BY _ r ��-L)