HomeMy WebLinkAboutPL 1979-1606 New Single Family •■ /'t
FEE SCHEDULE Permit No. /v0
CITY BLDG. /7,e^ o CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE So (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAl. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. // /� 'Li
UTILITY CONNECTION J 5D 0 /' /( .4e42-44f
L U 0 Date � / / �f - -+L 19 ?9
TOTAL AMOUNT DUE /" 7Qf-C ✓C/e--
STRUCTURE USED AS
REFRG HANG
MARK BUILD - � P UMB. HEAT INSTALL ALTER REPAIR RERCOF RESIDE MOVE WRECK SIGN
SQUARES I I ( l I I l -- a n
BY X V ` I I l I
Owner Address
Architect Address /
General Contractor 3 �i•-Q- Address ...5 7 (f � .1.eC '4`Q 222',
�nstractor Reg. No. -��&_,
/kir% 927 NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ t e f( i a
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT FO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: 2 Dt
BASEMENT G
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified reefing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef l! r� w mlt ca beissu 1. /� ,
OWNER /CONTRACTOR SIGNED . �
CK'D EP( i