HomeMy WebLinkAboutBP 1979-1570 New Single Family FEE SCHEDULE Permit No. 7.-
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CITY BLDG. 1pZ_YQp CITY OF O K PARK HEIGHTS Plan No.
STATE SURCHARGE 1 tSb (For Dept. use only)
BLDG. PERMIT ____ _
CITY UTILITY _ �
EXTERNAL PLBG. /Lista) APPLICATION FOR PERMIT
METRO S.A.C. I„pd
UTILITY CONNECTION ` IMA Date -tea A 19.2.2.
TOTAL AMOUNT DUE . 1
STRUCTURE USED AS
REFRG
HANG
MARK BUILD PLUMB. HEAT INSTALL I � ALTER REPAIR REROOF RESIDE 1
ESIDE MOVE WRECK SIGN
SQUARES l l Li [1 I ❑
Owner 2,J41 k. 1g�gl// Address 5'87 r2 J W � SRs(
Architect Op 1.,.x.44 !'.,M i Address JeeC6 Cerlrur As t #. _.(1 Y
General Contractor - 11)..e: ►iti l/�O/� Address 5'87 v�.'J 7fd. Q ,,Q
Con actor Reg. No. a
017, y39-
' NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
' 5 5`; sc.. th .1-1 e -n.
LOT BLOCK /� -;7^ ADDITION OR TRACT
. / .N 1L
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
.5 /38.87 ,L ?
WIDTH LENGTH I HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE a i yq
/ 000
9
BASEMENT
YES
DETAILS OR REMARKS:
is
❑ 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 d.
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C� OK'D BY Q
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