HomeMy WebLinkAboutPL 1980-1691 New Single Family FEE SCHEDULE Permit No. 1 /
•
CITY BLDG.. ,.1 /, -0 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE - /a�
BLDG. PERMIT pl i• .S V
CITY UTILITY
EXTERN"` PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION : j /� 1%, Date / - ,5 19 erg
TOTAL AMOUNT DUE (-f
STRUCTURE USED AS
REFRG HANG
MARK BUILD PI�LUU/M�B. HEAT INSTALL ALTER n n n n u n REPAIR u EPAIR REROOF RESIDE MOVE WRECK SIGN
SQ BY X n I 1 I I _ n
Owner �� 1(6 • ) Address
j tect Address
/.... .. ontrac ',. L. —� - - ' Address
Contractor Rec. No.
NUMBER S TREET SIDE BETWEEN WHAT CROSS STREETS
. , , ...,,. LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES '3' C D DETAILS OR REMARKS: 7 r 4 ' - ‘ - ' - ' - '
BASEMENT / ❑ NO g
ai
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 befo rmit be i
OWNER /CONTRACTOR SIGNED ✓-4..yZ ? i�r■
OK'D BY _