HomeMy WebLinkAboutPL 1977-1169 New Single Family FEE SCHEDULE Permit No. / / C9
CITY BLDG.. 'VI, 06 CITY OF OAK PARK HEIGHTS Pl N
STATE SURCHARGE � � (For Dept. use only)
BLDG. PERMIT I .JV
CITY UTILITY
EXTERNAL, PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Da -1 : - I■ 1911
TOTAL AMOUNT DUE (�`
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUM HEAT INSTALL. A LTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES . U
BY X III El
Owner Address ' 44 V0 .-- J -. '\ - ) ,
Architect Address
Gemaeef-Contractor &Lit Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS ..\-,.
I Ut-kAi sw, LOT L (�� K ADDITION OR TRACT
► 1-4..) Lam, a
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 a � e lake - 7 - ?-
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
OK'D BY