HomeMy WebLinkAboutBP 1980-1775 New Single Family 02/ FEE SCHEDULE
Permit No. /
CITY BLDG. /S7 49-e CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ,P.C)r d"'� (For Dept. use only)
BLDG. PERMIT /12._04
CITY UTILITY FsO. yyyy
EXTERNAL PLBG. IA •
METRO S.A.C. � r a">' APPLICATION FOR PERMIT .�
UTILITY CONNECTION `;
,, � Date 19d Cl
v
TOTAL AMOUNT DUE 9?ffr 4'63
STRUCTURE USED AS
REFRG. HANG
BY
RX BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MA
SQUAARES C Il ^ 0 ^I Ir� ❑
Owner R 6 /r) AN 0 u O L 0 C H Address
Architect Address
General Contractor 3 R / Address
Contractor Reg. No.
1-/ —7 goo
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
149 39 ppFrz 6 ,
a eoRNen OZ4 /c , S 771
LOT BLOCK ADDITION OR TRACT
5 y 3R r XI<E / ' 2 4 411 —
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 1 / 7 /72.. / 3 °
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE a 'I [1 2 / L ( FR 4-r+^ C YO, 0 0 0 B 6
BASEMENT
X.
YES 7 DETAILS OR REMARKS:
❑ 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 S • gr s \ `__ A......i..--■
OK'D BY