HomeMy WebLinkAboutME 1979-1655 New Single Family •
FEE SCHEDULE Permit No. . (
CITY BLDG. CITY OF OAK PA' HEIGHTS Plan No.
STATE SURCHARGE rS� . � J / - (For Dept. use only)
BLDG. PERMIT O(,3.(Ji ��
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 1�
TOTAL AMOUNT DUE .7—
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ n l I I I n n n
Owner Address
Architect Address '
General Contractor �L tea- • Address L�8 € 8 11� Q(' P
Contractor ~` ` b. c—ca, rr(J .4.
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. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT ❑ YES
DETAILS OR REMARKS: geed .467
❑ 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 be permit can be.
OWNER /CONTRACTOR SIGNED .K-
OK'D BY