HomeMy WebLinkAboutME 1981-1884 New Single Family n r,
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FEE SCHEDULE Permit No. gr/
C BLDG. ea • �� CITY OF OAK PARK HEIGHTS Plan No.
5 (For Dept. use only)
STATE SURCHARGE /
BLDG. PERMIT L
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. •
UTILITY CONNECTION Date � 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE IRE IK SIGN
SQUARES I
BYX � l l - n_
Owner _ C ^f Address
Architect Address
,General Contractor .• .. G.ir 1, } Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STR .E S
/ `'
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
YES
DETAILS OR REMARKS:
40
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
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