HomeMy WebLinkAboutBP 1979-1603 New Single Family FEE SCHEDULE ( � Permit No. � es
CITY ELD 1, _
CITY F OAK ARK HEIGHTS Plan No.
(For Dept. nee only)
STATE SURCHARGE /-7'S 3 Ocyy
BLDG. PERMIT C� l SO
CITY UTILITY b.S:frel
EXTERNAL PLBG. / (o •7 APPLICATION FOR PERMIT
METRO S.A.C. y� s, .y� 7 7(� _ 4
UTILITY CONNECTION J 0 ".0.0 Date / Q 19 '
TOTAL AMOUNT OUE / / 1J _V N
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. H EAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 2 I 1 I 1 1 I I 1 PI I I a
BY % 1 t J t f 1
uJ a-r — y L` 2-.d s /1'' Address —; ? 'y' C, f f; ;'h:
Owner
Architect Address
General Contractor Address
Contractor Reg. No.
nh '- 7 ` 7 V J
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
36 . L� [ :1' e z. i. E
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
1 3,
LOT i ) V 3 / o " - 3 0 ± v
WIDTH LENGTH HE IGHT NO OF STORIES I TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / — -, o ::
BASEMENT
0 YES 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 5 / 1? `! 4 ^-a,.,/4' '
O K' D B'r