HomeMy WebLinkAboutBP 1980-1815 New Single Family r
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Permit No. � Q / '�
FEE SCHEDULE CITY OF OAK PARK HEIGHTS PI N
CITY BLDG. /J //3.1-r) (For Dept. use only)
STATE SURCHARGE.12-12 Dd
BLDG. PERMIT
CITY UTILITY 60.,, / � -��
METRO S.A PLBG• ih.d0 APPLICATION FOR PERMIT ��a 5, n 19�G
METRO S.A.C. /1 ! pate
UTILITY CONNECTION
s 7.on /� ,
TOTAL AMOUNT DUE STRUCTURE USED AS
- - HANG
REFRG. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL �. a I I I `-
SQUARES -^ hl ,�_ --
BY X . �—
Owner ; t L 4 - - L EM N Address
Architect Address
OM 414 q
General Contractor S c j A 6 2 C 5' o — � Address ,..C. 64 9
Contractor Reg. No.
` REST SIDE BETWEEN WHAT CROSS STR S
NUMBER T,,,
` a ~ ADDITION OR TRACT
LOO T BLOCK
C 7 - jr /6 .goo z
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT V 15 q
HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
WIDTH LENGTH / / p � e O
STRUCTURE Q / `� / �n
DETAILS OR REMARKS:
`YES
BASEMENT NO t The undersigned hereby makes
Oak Park Heights. for permi t n: must uildin register W with the specified
before permit agr a d e a wo
OWNER /CONTRACTOR SIGNED k in strict accordance with
all ordinances of the City S . a zW.... _. _
OK'D BY