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PL 1980-1756 New Single Family
FEE SCHEDU Permit No. /7 ` CITY BLDG.. __!D__U CITY OF 0 K PARK RK HEIGHTS Plan No. STATE SURCHARGE AV) 2.2629 / (For Dept. use only) BLDG. PERMIT / / / CITY UTILITY EXTERNAL, PLBG. APPLICATION FOR PERMIT METRO S.A.C. S1/32040'0"6"7-1--- /*-1 � (� UTILITY CONNECTION K Dote 19 /1L� TOTAL AMOUNT DUE geS/C 4-10. i STRUCTURE USED AS REFRG HANG MBAR% BUILD PLUMB HEAT INS ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN I SQUARES I ^ I I` ^JI JI ^JI U Owner (.,)/i S de W tl1 t 1 700 At S Address 10100 Al. /30 S+ 4Jt.►c� n SSuae Architect Address `/ General Contractor _ Address ontractor Reg. No. onC: NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS 1`18 7 g c l : A. OZHRK ci- ©5 oc)19 LOT BLOCK ADDITION OR TRACT g 5 erekke- f/s. 4 a gcf c) i--1-1 0 WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT �3 f 3 /0 30 WIDTH/ c�Q LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE 9GL / a / r evn ie 20 p 00 oo `S DETAILS OR REMARKS: i T BASEMENT 0 NO The undersigned hereby makes application for a permit to do Building Work as herein specified, agreei g 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' can e i ed. OWNER /CONTRACTOR SIGNED ( ' ei it) p t . . 4,tit-,- OK'D BY