HomeMy WebLinkAboutPL 1979-1664 New Single Family FEE SCHEDULE Permit No. /f° �j
CITY BLDG. //'0-t7 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE (.6
BLDG. PERMIT ,7CC
J
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. /4 /y�J /�J, /Jj
UTILITY CONNECTION G 14 hn- f- °- Date / / A 6 192
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB I
LUUMB. HEAT INSTALL. ALTER REPAIR MOVE WRECK EPAIR REROOF RESIDE MOVREC SIGN
SQUA BY X I/� I I I I l I n n u _— o
Owner / Ri Address
Architect �� p Address
p General Contractor •S eiht Gt.- Gam– Address �8 � c :
9 2 r ,
v ontractor Reg. No.� .
75 7 7L ?/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
` _ S' L ?'5 / /`. d --
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
❑ YES DETAILS OR REMARKS: 7
BASEMENT /'
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specifies : do
all to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village be ermit •:n be - "
OWNER /CONTRACTOR SIGNED : A "' '.. _ 01.1
OK'D BY _ AO