HomeMy WebLinkAboutME 1979-1625 New Single Family ti 0 C 18 e� FEE SCHEDULE , 7. / , / Permit No. �g°Z' S
r' CITY BLDG. ..2.Z, O CITIf'0 OAK 'ARK HEIGHTS Plan No.
STATE SURCHARGE (5° O (For Dept. u only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 9/.2 S
UTILITY CONNECTION Date 1P_.
TOTAL AMOUNT DUE X v
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. H INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I `_ 1 U ri
BY X l
Owner E t a." r ct t- - Address / Yr a -.2 �7 �` 11 -�i
Architect Address
General Contractor $L t. 9'4- Address 61 IU Mr-)t../(A, zCt r
Contractor Reg. No.
..3j- 3_ i". -7i
NUMBER STREET 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
0 YES 7, Q DETAILS OR REMARKS:
BASEMENT , 'd G „10-640-- A
o NO • ,sd 7,/,‘41 C �-GL tf G ` 4 r
‘„ 00 Sal 6-0-0 / )1 ,..,,
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.
OWNER /CONTRACTOR SIGNED
OK'D BY _