HomeMy WebLinkAboutME 1980-1813 New Single Family FEE SCHEDULE Permit No. ` /J
CITY BLDG. d�
BLDG. PERMIT 30,S7 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t JV (For Dept. use only)
)
CITY UTILITY
METRRNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
Date / L - 3 19,12
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK HANG
SQUARES l�'� -�
BY X 11 I l
Owner .Ll. - d i M c_k Address
Architect Address
General Contractor . .� /-c , _.. 7/..),..-,\14"-<- Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
92o
LOT L CK 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:
Q 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 permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY