HomeMy WebLinkAboutBP 1981-1860 New Single Family FEE SCHEDULE Permit No. /e16
CITY BLOM. Oi.'d'7 I ao CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE = L�U (For Dept. use only)
BLDG. PERMIT CW"
CITY UTILITY OO
ETERNAL P`BG' -/ t°_6
M 7. - APPLICATION FOR PERMIT 3
METRO S.A.C. � >•C�
UTILITY CONNECTION .�C ?O.00 i •7 C 1 .J�
TOTAL AMOUNT DUE /yl I 5/.- C G Date / ✓C !c• (�(j
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK S N
SOBY X ES ❑ n ❑ C E El C ❑ ❑ `�
' ..
Owner "4 At Address 5 _ I 7
Architect Address
General Contractor /L Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/1 \3 74/C W. X
LOT BLOCK ADDITION OR TRACT
/ / �� `�`tiI /f-/T--17 2
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / O O / 30 3 v - / (, i Q
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE •
STRUCTURE Y D / / ��� r
/ — vrLriC - .4 O ,
DETAILS OR REMARKS: t
ES
BASEMENT Z Y
❑ NO
•
i
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with t
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo e permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY