HomeMy WebLinkAboutPL 1982-1979 New Single Family FEE SCHEDULE Permit No. 1 q 7 9'
CITY BLDG. 1 767e) CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE . (For Dept. use only)
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BLDG. PERMIT lu,.5Z
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION 0, , ' I l�� Date
TOTAL AMOUNT DUE 7 g. 19Y,- //
STRUCTURE USED AS
REFRG HAN,
MARK BUILD PLUMB. HE AT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES \/ I ^ 1 u
fl fl I E
BY X � l I
Owner -U.1 � " 42.1" )mS ( sT Address
Architect _ Address
General Contractor 14- a..4-- Lb \ I've._ Address S 1 z,Yc E / , 1-u4?-.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
iiig y 5 il 5 74. A •
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: 6 6/
BASEMENT ❑
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 re ..._..12_1 before p it can be i ed.
OWNER /CONTRACTOR SIGNF'� �` ..._..12_1
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