HomeMy WebLinkAboutME 1980-1696 New Single Family '7 ( ' /l' Permit No. / (o/�b
FEE SCHEDULE CITY OF OAK PARK HEIGHTS
Pl an N o.
CITY BLDG.. OL 2 S o (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date / O
UTILITY CONNECTION Q � ry
TOTAL AMOUNT DUE -xrd
STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
I
MARK
BUILD PLUMB. HEAT INSTALL a �I I `_
SQUARES 1 I i� � / ` — I I ,—� I I Il
eYx I I !s
— - �,_ _
C
Owner ( Address
/
Archit Address
e t
3n / i •-• Address
tContractor
Contractor Reg. No.
STREET I SIDE I BETWEEN WHAT CROSS STREETS
/Ye/5 d.--it_ NUMBER I
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CL
LOT BLOCK
I 1 CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
0 YES I g� ` 7
BASEMENT 0 E
The undersigned hereby makes application for a permit to do Building Work as herein specified, a reeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef rmit can is
OWNER /CONTRACTOR SIGNED 1 4-4,---4----
OK'D BY _