HomeMy WebLinkAboutPL 1979-1639 New Single Family FEE SCHEDULE Permit No. / C 8
CITY BLDG.. 2. ice) CITY OF OAK PARK HEIGHTS Plan No.
c (For Dept. use only)
STATE SURCHARGE 'J 49 `(
BLDG. PERMIT is5.J�
CITY UTILITY
EXT°RNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ,(7 RR// /nom v
UTILITY CONNECTION ,{:/i� A it L/ Sv /'/ i{- Date —'? 8 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD P / UUMMMB. H EAT INSTALL ALTER REPAIR REROOF RESIDE j M MO OV � E WRECK SIGN
SQUARES I 1 I ' 1 l I f 1 1 1 1 1 I n n 1 I lJ C
/ � Address c- Y %� C"•�c.
Owner �" le.— $111-A-0.-,—
Architect Address VII `v p� G' � 2 ��� 1 _,
I101 U1 Contractor �'►+� � � Address /! � 0 � -�/ ° I
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ' ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT 0 YES / C r
a NO The undersigned hereby makes application for a permit to do Building Work as herein specified, . 're 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 p •'t can e Issued
OWNER /CONTRACTOR SIGNE
OK'D BY