HomeMy WebLinkAboutBP 1980-1686 New Single Family /
FEE SCHEDULE eq `' /. , ` Permit No. /‘�t
CITY BLDG,. /,1 7()"d CI • OF O•' •RK HEIGHTS Plan No.
STATE SURCHARGE /3'/0 0 (For Dept. use only)
BLDG. PERMIT /4/el • �U
CITY UTILITY S
METRO SAA.0 LBG. �o APPLICATION FOR PERMIT
UTILITY CONNECTION ___ Date 4 _iigyt, 19,D
TOTAL AMOUNT DUE 9 IZ Si-
STRUCTURE USED AS
REFRG. HANG
MARK
BUILD ' P HEAT INSTAL __ ALTER REPAIR REROOF R ESIDE MOVE WRECK C
ECK SIGN
SQUARES Y 1 l� D fl f _. �fl ^I
Owner ZU A 6 F R g R v 5 /4/c. Address , 9 y v M ///i r
Architect Address
General Contractor Address
Contractor Reg. No.
N 3q —11//
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
Iyg -6/Pr SS &T 0-S00015 . d,9/Z
LOT BLOCK ADDITION OR TRACT
/9 5 Bi i<i 2I / -1 7,— ,, Ao1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT $ 3 (3 0 l 0 3 0
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE a Y D / ' Fg frwi G 3 p / D 0 uo
(] YES DETAILS OR REMARKS:
BASEMENT 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 before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY _ �, -/