HomeMy WebLinkAboutME 1980-1811 New Single Family Permit No. /8'//
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. end(IC (For Dept. use only)
STATE SURCHARGE S ,J�
BLDG. PERMIT f
CITY UTILITY /
EXTERNAL, PLBG• APPLICATION FOR PERMIT
METRO S.A.C. / — 3 19 UTILITY CONNECTION Date
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
BUILD PLUMB HEAT INSTALL
REFRG ALTER REPAIR REROOF RESIDE I MOVE WRECK SIGN
. -- U L
MARK _—
SQUARES I J I `�
BY X / ` �'
Owner >4' 2 } '`'■'h A- Address
Architect Address
General Contractor ' " " "" Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
(�i
o f A..''
LOT
=LOCK ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I
BASEMENT YES '
Q NO
f
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