HomeMy WebLinkAboutME 1980-1698 New Single Family /'
FEE SCHEDULE Permit No. /( ?
CITY BLDG. (V CtiS'Z' CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 3 // 6 ' 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE W SIGN
MARK
SQUARES IIr��� II
BY X ^ll 7 7 I ^I E
-
Owner �� 1C-0"----- Address
. Ar hite t ,[- p Address
contractor /'9'`— Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STR ETS
IME a _,
VJIz Aral
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
El YES DETAILS OR REMARKS:
BASEMENT ❑ ^ ^ ' , V 1
N O � lJ'GTCI
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 it can be issu
OWNER /CONTRACTOR SIGNED 4S"
OK'D BY