HomeMy WebLinkAboutPL 1978-1415 New Single Family ,— ■ /
Permit No. 1 +I S
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT sr)
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Dot 19��
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
BUILD PLU HEAT INSTALL
MARK HANG
REFRG ALTER REPAIR REROOF RI SI RESIDE M� WRECK SIGN
C
SQUARES _- ( I I I I J __ ' �
BY X
a 4 ,G, Address ' 4% 1°3 L � Cy �
Owner �f r l�-�
Architect Address
3 ? L°21-1 9 ( 7 CA) 6 e � � • General Contractor �� - A V
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
��
)/g63iJW:�171r.
ADDITION OR TRACT
11 I
LOT l BLOCK „ ,�
•
SIDE LOT CLEARANCE )-�� FRONT BUILDING LINE
WIDTH DEPTH
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I J �p�^ /
BASEMENT
0 YES / p" :
.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 issu ed. ce_
OWNER 'CONTRACTOR SIGNED
.\ \( fr OK'D BY —