HomeMy WebLinkAboutPL 1979-1513 New Single Family .•–••■, /–"■ .
FEE SCHEDULE Permit No. /573
CITY BLDG, 4, 7, oo CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
(For Dept. use only)
, Y1: ,
BLDG. PERMIT a 7tY
CITY UTILITY
EXTERNAL PLBG.
APPLICATION FOR PERMIT
METRO S.A.C. , e 7 n
UTILITY CONNECTION /' -- s/..7e:rel- Date
TOTAL AMOUNT DUE ------..---
STRUCTURE USED AS
REFRG
HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I 1 iy] I I .
BY X I I I I Li ._ LJ :ii
Owner I ---' AI , ......L.....A 1 E....2 — Address i171/
, ...
Architect Address
General Contractos.0-e-27 1L3,„4, Address
CcAactor Reg. No.
•
me;
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT
2
OCK 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 0 YES
DETAILS OR REMARKS: /
C NO
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 p -, it can be issued.
OWNER/CONTRACTOR SIGNED • . C. i . . 1t4 .._..-r ...”.. ,
1 / I
OK'D BY