HomeMy WebLinkAboutME 1979-1657 New Single Family FEE SCHEDULE ) Permit No. ,,e
CITY BLDG, So O CITY OF OAK P • ' H IGHTS Pion No.
STATE SURCHARGE / ,"-D � / /t / (For Dept. use only)
BLDG. PERMIT '
CITY UTILITY
(� a
EXTFRNA PLBG. APPLICATION FOR PERMIT
METRO O S.A.C. S.A /
UTILITY CONNECTION Date ///2„..‘ 1y./ /�
TOTAL AMOUNT DUE ——
STRUCTURE USED AS
REFRG HANG
MARK
SQUARES
BU II L --�t D PLUMB. HEAT INSTALL I I -J ALTER REPAIR REROOF RESIDE MOVE WRECK
I 1 Ilr Ih II I -- 1 I 1
BY X ' 1
Owner J' • A,- ,C..,--4.- Address
Architect Address
General Contractor( /..i./A1-3..4— Address L$ SS ? ' C Zr_.eC., t
Contractor Reg. No , • — !
/ i _ /
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
-vi 6 l � :t../0• ,
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
•
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT 0 YES DETAILS OR REMARKS: Cl -‘1- ,
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, a. - -'ng to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor can be i • - • .
■
OWNER /CONTRACTOR SIGNED 1- s.. ...... - /�i `1s,
OK'D BY _