HomeMy WebLinkAboutPL 1978-1491 New Single Family I 1 FEE SCHEDULE
CITY BLDG, � � dO , z' I Permit No.
� : ' CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE _ t St.) (For Dept. use only)
BLDG. PERMIT p? .6
CITY UTILITY
EXTERN"` PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION p , , —Z_f
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE E MOVE WRECK SIGN
SQUARES [514 7 7 I 1 ' ^I t ^I 0 C C
BY X
Owner C31. \ I ■ fl Address 19" q: " SL '+ S t '
Architect Address
General Contractor ,L' -1 -.) Address /6)cam+ -f
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
i4e2J(c) C - X — .
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 BASEMENT YES
!! 2
DETAILS OR REMARKS: kr(1f
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 perm t n be, issued.
OWNER /CONTRACTOR SIGNED C /'! su
OK'D BY