HomeMy WebLinkAboutPL 1980-1812 New Single Family FEE SCHEDULE Permit No. / 8/ 2 CITY BLDG.. c77. d--0 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE t
BLDG. PERMIT C 79.s
CITY UTILITY
EXTFRNAL PLBG• APPLICATION FOR PERMIT
METRO S.A.C. ,/) /,�/J�y� /� 7(I
UTILITY CONNECTION O. /` �A/ «�"`r D ate 1177
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB HEAT INSTALL n1 - 1 fl `- 1 I E l L D
SQUARES -, F TI U ll
BY X
Owner .2 . LJ /'.7 Address
Architect Address
�
General Contractor -0 Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
G� 9 O 7, ' .) 3- s
/ / /
LOT T =L• K 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 Al? ?/ / L)
BASEMENT ❑ YES
❑ 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