HomeMy WebLinkAboutPL 1979-1567 New Single Family FEE SCHEDULE Permit No. / CO J
CITY BLDG.. °arEL!P4'21 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE - SD_ o 6 � X /� (For Dept. use only)
BLDG. PERMIT lLif
CITY UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �+-
UTILITY CONNECTION �g��,Qy���Q/�j� /) Dote d / 1
TOTAL AMOUNT DUE W+ ___ _ __ "- • "s_ i
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL
- ALTER REPAIR REEROOF RESIDE MOVE WRECK SIGN
SQUARES -, 7 ^I U
BY X
Owner / 77/0 1 7 Address
Architect Address
General Contractor Sell-•r3 rP E ^as Address
ntractor Reg. No.
/7C
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/yp Zlre ‘57_s --
, 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
KIS DETAILS OR REMARKS: %
BASEMENT '
0 NO
•
The undersigned hereby makes application for a permit to do Building Work as herein specified, �.. -eing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo . - it can be i .
QWNER /CONTRACTOR SIGNED .. id - _ .G /J� �
_
OK'D BY