HomeMy WebLinkAboutPL 1978-1494 New Single Family Permit No. t V LIr
FEE SCHEDULE Permit
CITY BLDG. I. - 1 - 1 )V CITY OF OAK PARK HEIGHTS Plan No.
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STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT 1, •fib
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT �(� y�('�
METRO S.A.C. _ D w111 w � 1][
UTILITY CONNECTION , X.Y Y.LY_
TOTAL AMOUNT DUE eV �A .4 Ar J
STRUCTURE USED AS
REFRG HANG
BUILD PLU B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK
MARK I-1 I l —^
SQUARES BY XES i I l �—
Owner r L-4--) Addre 6 fl
Architect Address
Sieaerel Contractor .1 1 e ) aut..) Address rd��.✓
Contractor Reg. No.
NUMBER .'-61‘r- STREET SIDE BETWEEN WHAT CROSS STREETS
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LOT BLOCK ADDITION OR TRACT
0 1 I 9 0- _ }k a C
WIDTH DEPTH SIOE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH 1 LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: . _ i
C "ES
BASEMENT _
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 �n b issu
OWNER /CONTRACTOR SIGNED ,� "� �'
OK'D BY