HomeMy WebLinkAboutPL 1978-1425 New Single Family /....".
FEE SCHEDULE Permit No. l ti-QC
CITY BLDG. ns• 0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE �J
' 3 (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG• APPLICAT1O$ FOR PERMIT
METRO S.A.C. t
UTILITY CONNECTION O at �� 19 �
TOTAL AMOUNT DUE Q ' d �\�
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL [ I ALTER REPAIR REROOF RESIDE MOVE WRECK 51 N
SQUARES —, I —^
B Y X 111 -- --
°I—• " 5 — te-,, S� ��
Owner — Add ress
Architect Address
General Contractor C \A-N` wR L. h� �KG Address ° I 2 W 6 G t-4 e n V. Rk e R �I_
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
6 s 67t St CIro ¢ E.
LOT BLOCK ^ cl ADD OR1 TRACT
a ' I f I J � / t� ` �n �^Vs
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
•
DETAILS OR REMARKS:
0 YES // ONr
BASEMENT O
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 b. ,*permit can be issued. ;
OWNER /CONTRACTOR SIGNED — __ —` ■- —
OK'D BY