HomeMy WebLinkAboutPL 1980-1789 New Single Family Permit No. �7�
FEE SCHEDULE Plan No.
o CITY OF OAK PARK HEIGHTS (For Dept. use only)
STATE SURCHARGE
CITY BLDG,. ...g /'
/- 5-6)
c .71 SO
BLDG. PERMIT .•77 �O
CITY UTILITY
cvrcRNAL PLBG• APPLICATION FOR PERMIT
METRO S.A.C. n Date / /
Z 191
UTILITY CONNECTION e (I U g
-- - - - TOTAL AMOUNT DUE o 1p � STRUCTURE USED AS
HANG
BUILD PLUM EAT INSTALL
RE FRG ALTER REPAIR REROOF RESIDE 1 MOVE WRECK SIGN
B. H I ^ U
MARK
SQ 4 n I I I l n _ _
UARES I
By x
i �,�,t7no. 5S-!/-) Address �
Owner • • ' Lk ■
Address / / I�:
Architect Address . IP lnf`1:..
feAeral Contractor " "
■
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
/O / li ADDITION OR TRACT
LOT BLOCK
FRONT BUILDING LINE
WIDTH DEPTH SIDE LOT CLEARANCE
LOT ESTIMATED VALUE
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION
STRUCTURE
DETAILS OR REMARKS: .i -
0 YES
BASEMENT 0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, • ing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor /
/
`� it can •e i� • " —
OWNER /CONTRACTOR SIGNED A'a—
OK'D BY _ dif