HomeMy WebLinkAboutPL 1978-1450 New Single Family FEE SCHEDULE Permit No. i 9-c
CITY BLOG1. as COO CITY OF OAK PARK HEIGHTS Plan No. I
STATE SURCHARGE rr (For Dept. uee only)
BLDG. PERMIT .b4, .
CITY UTILITY
EXTERNAL, PLED. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION o /`-
Q !?
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK I I I BUILD PLB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES U C
BY X
Owner 8 W a %•.--`^ % ( Address
Architect Address
General Contractor. Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STR
I l /F8 .r
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
BASEMENT
p YES DETAILS OR REMARKS: „
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 permit can be issued.
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OWNER /CONTRACTOR SIGNED -
0 OK'D BY