HomeMy WebLinkAboutPL 1980-1788 New Single Family Permit No.
FEE SCHEDULE Plan No.
CIT`! OF OAK PARK HEIGHTS (For Dept. use only)
CITY BLDG- '
STATE SURCHARGE ____'..L.,
BLDG. PERMIT o — " _
CITY UTILITY
FYT RNAL PLBG• APPLICATION FOR PERMIT o _ � 9 S,IL//`i�
„_
METRO S.A.C. yJ _�� Date 1.
UTILITY CONNECTION /� f "
TOTAL AMOUNT DUE v STRUCTURE USED AS
HANG
BUILD PLUMB. H
RE FRG ALTER REAR REROOF RESIDE t MOVE WRECK SIGN
HEAT INSTALL. AT L U
MARK
S q QU
B A RES X
D . - , e 4 f , Address
'� 850 S6:7 i; •
Owner 4 Address
���
Architect ' . Ni I
_j_ I • Address t
�6�c1 Contractor . I -.4
Contractor Reg. No.
NU�MjBERn STREET
SIDE BETWEEN WHAT CROSS STR ETS
LOT ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT __ ESTIMATED VALUE
WIDTH LENGTH
HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION
STRUCTURE _IIIIII_
DETAILS OR REMARKS: , a r 0 � C —
❑ YES
BASEMENT O NO
lication for a permit to do Building Work as herein specified
The undersigned hereby makes app ing to do all work in strict %ordanC with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef r ican a issued. ,- ' �
OWNER /CONTRACTOR SIGNED •
OK'D BY