HomeMy WebLinkAboutBP 1980-1803 New Single Family S W Permit No. /go' FEE SCHEDULE /35',0.2 CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG.
(For Dept. use only)
BLDG. PERMIT
V 1
STATE SURCHARGE � J_ - � /
CITY UTILITY '04
EXTERNAL PLBG. � APPLICATION FOR PERMIT - o- /0
/ t��(
METRO S.A.C. ) q/) Date �`s` 19v
UTILITY CONNECTION �J QD�"�'
TOTAL AMOUNT DUE 95-.1, o STRUCTURE USED AS
HANG
BUILD REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK �LD PLUMB. H
I HEAT INSTALL U C El
SQUARES A /I C —
BY X
Owner A a. f /h At S , ELL t7 Address
Architect Address y
General Contractor '�� �3
.r Address 5 ,1
5 8' D 4 4
Contractor Reg. No.
4 q 7 r / / BETWEEN WHAT CROSS STREETS
STREET SIDE NUMBER
/ yy2.o 042.414K
ADDITION OR TRACT
LOT BLOCK
1S S B1 e /lac t- Al 4 OD
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
3
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Y � O ! O / G / �2 4-r-- C 3 'tea. °V
•
DETAILS OR REMARKS: I
YES
BASEMENT 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. L , .a__
OWNER /CONTRACTOR SIGNED /
OK'D BY