HomeMy WebLinkAboutPL 1979-1550 New Single Family / ��d
FEE SCHEDULE Permit No.
CITY BLDG. /9 I a CITY OF OAK PARK HEIGHTS Plan No.
_�C (For Dept. use only)
STATE SURCHARGE t
BLDG. PERMIT
CITY UTILITY 1
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. •U j //n //J1 �/
UTILITY CONNECTION - (�, i v Date / 7 1922...
TOTAL AMOUNT DUE
STRUCTURE USED AS
RE FRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE iREC SIGN ,
MARK
SQUARES 1/C1 I 1 I I I �'�II
( I 1 I
BY X
Owner �/f� /7---‘- A' " - Address
Architect Address
General Contractor a521:7 ". Address
hope, Reg. No.
/lope! YJ _3 _7 /
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/4 / f V / L 5 - 6 > 4 . . / 5 4/, ►
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
❑ YES DETAILS OR REMARKS: I
BASEMENT ❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, a' ng to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before :it can be i
OWNER /CONTRACTOR SIGNED - ..i_
i OK'D BY