HomeMy WebLinkAboutPL 1979-1645 New Single Family FEE SCHEDULE Permit No. /6 y � ,
CITY BLDG. , j 9t "9-9 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE ...5.0 _�yL /�/
BLDG. PERMIT C �')
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.G. //'/,'y
UTILITY CONNECTION d /{ le A Date /in l q
19
TOTAL AMOUNT DUE HO v S`
STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK a �• — —' 1 I _ � �_
SQUARES 11
El
BY X
Owner (r a r eA. or, pas S r►' vgr S 0 n Address
Architect C.c.. 1:1 l ' t A- e$ Address
General Contractor . O w r, eY ` R 06'° •1 A 2 Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ygo X S 6T ST A/o .-7/,
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
0 YES DETAILS OR REMARKS: 3 @ C1 t...,
BASEMENT Q NO PA r " " I t - n r r! e 7 11- 1) P,
dam / a A/Ar•al, P1 . b - O ney..3
The undersigned hereby makes application for a permit to do Building VOrk as herein specified, agreeing to do all Ivork • strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor ermit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY _