HomeMy WebLinkAboutPL 1978-1422 New Single Family FEE SCHEDULE Permit No. 14)
CITY BLDG,. o{ • 0 0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE � (For Dept. use only)
BLDG. PERMIT R�t 5•
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D to ? 9 197
TOTAL AMOUNT DUE V(Lt1 A. aj
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLU M� HEAT i INSTALL • -- ALTER REPAIR REROOF RESIDE MOVE SIGN
N
SQUARES `fr I ^I I I ^I E _.
BY X
Owner gi,-)c-g eV• QrO Address I tt'O L-t-t +- S - k &+
Architect Address
General Contractor 's PI R . Y1-10 z1 ,\'Ar. Address . %7 t A) fro r cl•2,v. 1- `(:/`'C' • SZd
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
4
Pa 7-C LOT BLOCK ADDITION OR TRACT
to y C 6AR a na C .ct .
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT —YES
DETAILS OR REMARKS: // C7�1Er
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 b r permit be issued.
OWNER /CONTRACTOR SIGNED
1/7; OK'D BY _