HomeMy WebLinkAboutBP 1980-1776 New Single Family r;
PA; Permit No. J 2 'C
FEE SCHEDULE ...
OF OAK PARK HEIGHTS Plan No.
CITY BLDG. /est. 7• �� (For Dept. use only)
STATE SURCHARGE /y+.� S tl
BLDG. PERMIT /
CITY UTILITY
EXTERNAL PLBG. /L+' APPLICATION FOR PERMIT �-/
METROS.A.C. Date 19�v
UTILITY CONNECTION 300
TOTAL AMOUNT DUE ?39Sd
STRUCTURE USED AS
HANG
B
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK r U � I L PLUMB. HEAT INSTALL -1 I I I I
SQUARES 1 cI J —• —
BY x ` N ._
Owner p 0 V ci, e & (D L C Address
Architect Address
General Contractor sSW /rG E g'?u S /N<. Address — 98 ( Ain 144 CVs
Contractor Reg. No.
y 39 _7 f/0
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
HS.EQ 5 4r.. 5 �
0S600 Q 6241 K
LOT
ADDITION OR TRACT
7 I BLOCK I QR r gx F //Ts 2 "1 /
WIDTH
DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT $/ I 35 / 0 3
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
_ 00
STRUCTURE e Z / y0 / 2, / FRS^^ C . a. y, CQ0
DETAILS OR REMARKS: I
BASEMENT O YES
®, 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 before permit can be issued n e
OWNER /CONTRACTOR SIGNED � .
OK'D BY _ I