HomeMy WebLinkAboutBP 1980-1753 New Single Family FEE SCHEDULE
Permit No. / 7 53
CITY BLOGs / ` 1' Br 0"'0 CITY OF OA PA K HEIGHTS Plan No.
STATE SURCHARGE / . i C) �/ (For Dept. use only)
I
BLDG. PERMIT _ `�
CITY UTILITY G _ o
EXTFRNAl. PLBG. �`. cD
METRO S.A.C. h/>,S•o APPLICATION FOR PERMIT /�
UTILITY CONNECTION s 30 -0.0.6 Date �— � 197
TOTAL AMOUNT OUE / Yv ' r l Q c ,]
STRUCTURE USED AS
REFRG HANG
El RX
BUILD PLUMB. HEAT INSTAL Ir ri L ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MA SQUARES `` ( ^I ri
7 (Fl C
Owner K r G R A AJ A L/ F n/ 04- A. a Address
Architect Address
General Contractor c4 J 'CV- t= R eJ2( /s! C Address --C$ 9 8 0 M'4 HA 4 i
Contractor Reg. No.
( 139 — 7g/0
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/4/ 7 98 SG 0S Goo 6 0 24-4K
LOT BLOCK ADDITION OR TRACT
3 / 6 R EIC/< < /iTS i'10 0
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 1° 1 /0 3 v
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 Y ' e! r Z F�Aer-Yyl C 3 4� 0 D 0 �-
S
DETAILS OR REMARKS:
BASEMENT .g (YEYE 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. CC
OWNER /CONTRACTOR SIGNED CSW f4CFiQ ikoS /i+'c J
OK'D BY