HomeMy WebLinkAboutPL 1978 New Single Family /�
FEE SCHEDULE t ' -! Permit No.
CITY BLDG. >_O'd � J CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE • s e ....
BLDG. PERMIT
CITV UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ro / / / ///
UTILITY CONNECTION Da d, // ° ' 1 7
97
TOTAL AMOUNT DUE / - �
STRUCTURE USED AS
REFRG HANG
BUILD PLU B. HEAT INSTAL;. ALTER REPAIR RE ROOF 1 - 1 F RESIDE OV� WR SIGN
MARK I 1 — —
SQUARES
BY X y , 1 �—
4 2 4
Owner AA Address 56 i g"
Architect Address
Get eral Contractor _ % , r - ei Address _vim -I .Pa areL
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
r4t9a Pj 56- •Si— n.
LOT BLOCK 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:
0 ES , • /{,�` —.Aar,
,
BASEMENT v / ���
/ '
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
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