HomeMy WebLinkAboutPL 1980-1808 New Single Family n
FEE SCHEDULE Permit No. /e5 8'
CITY BLDG, c,22 o CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ( S C _ (For Dept. use only)
BLOC. PERMIT (
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION 0/1'.. (��'
,() 1 `✓t' ^,yl,tvV rn, _ Cly Date /2 — 3 19 O
TOTAL AMOUNT DUE ��/
STRUCTURE USED AS
REFRG
MARK W BUILD PLUMMB. HEAT INSTALL 1 L ALTER R
L
HANG
I fl n n n n n n
ALTEEPAIR REROOF RESIDE MOVE WRECK S
SQUARES I I I I 1
B Y X 1/�. i l 111
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Owner , ci a l., ,rr -c.�c cyG Address
Architect Address
General ContractoR�l/ 7L e. �r Address
T"
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ L/ /7 Aftw 4-s-
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
• WIDTH LENGTH HEIGHT NO OFS ORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
I
BASEMENT ❑ YES DETAILS OR REMARKS: / � J , InJ
ID NO - /`Q"
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
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