HomeMy WebLinkAboutBP 1978-1463 New Single Family FEE SCHEDULE Permit No. t 4 J
CITY BLDG. /33, — CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /G' �'•/,n/ (For Dept. use only)
BLDG. PERMIT �Y7. '
CITY UTILITY
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CPLBG. I ' ''..-v APPLICATION FOR PERMIT 0 — 11 -72 2
UTILITY CONNECTION 300' ,' Date / .v /3 199.F-
TOTAL AMOUNT DUE 9` /• b °
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL 1 ALTER REPAIR REROOF RESIDE MOVE WRECK SI N
SQUARES XES X _. n 1 l n n
Owner Address ff l
Architect Address ✓
General Contract° Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
/t7 / 4Z–f..-4-14_, , Z .-
WI DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
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LOT s /V C7 /0 ---- #4 0V
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 70 / " / 00-2.0,yE Z� 09J eIJ-
BASEMENT
0 YES DETAILS OR REMARKS:
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The undersigned hereby makes application for a permit to do Building Work as herein specified greeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo permit can4Is�su�ed. /
OWNER /CONTRACTOR SIGNE �`"" — / !��
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