HomeMy WebLinkAboutPL 1978-1423 New Single Family FEE SCHEDULE
Permit No. ( `{-),:b
CITY BLDG,. .:WS ,O CO CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /� (For Dept. use only)
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BLDG. PERMIT _t V
CITY UTILITY
EXTGRNAI, PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION e u 9 192
TOTAL AMOUNT DUE �� J
STRUCTURE USED AS
REFRG HANG
MARK BUILD PrL�UyMB. HEAT INS ALTER REPAIR RER� F RESIDE OV� WRECK SAN
SQUARES f \!I —' C
BY X 1 —F l s �l
Owner gLOCL e.Y' 1Y■Ct-S Address 1 4 s 1 t1 S ..."--44.14 /'
Architect j ikl 2 t Address
General Contractor R Pr"Th et 1 L. b 3t 1y.., Address qZ (j) (roL..49_,VL h )2 kE IR ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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W� a I . Y\ .
LOT BLOCK ADDITION OR TRACT
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WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS:
BASEMENT // 67/2--.4-4---4725
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The undersigned hereby makes application for a permit to do Building Work as herein speci - -d, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bliiivermit can
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OWNER/CONTRACTOR SIGNED
OK'D BY