HomeMy WebLinkAboutME 1981-1822 New Single Family I
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FEE SCHEDULE Permit No. / y
CITY BLDG. _zD CITY OF OAK PARK HEIGHTS Plan No.
..a-..0 (For Dept. use only)
STATE SURCHARGE C_,1
BLDG. PERMIT , r D
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / -� (�
1981/
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL _, ALTER REPAIR REROOF RESIDE Ml OVE WRECK SIGN
SQUARES I I fl fl n
BY X l
Owner ' _6 -+� �w Address
Architect / Address
General Contractor 1414 d a- +* - pc - c-' Address
Contractor Reg. No.
on/
NUMBER STREET SIDE • BETWEEN WHAT CROSS STREETS
I y 7 y G -5 -,. ho .
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
DETAILS OR REMARKS:
BASEMENT 0 YES
u 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
OK'D BY