HomeMy WebLinkAboutPL 1980-1680 New Single Family FEE SCHEDULE Permit No. /6 /J d
CITY BLDG. / S'•c"-D CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE [[y� S _ (For Dept. ore only)
BLDG. PERMIT /7, d
CITY UTILITY
EXTFRNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION J Date / /
/ lg 6 (; lc f, ; 1�I'Lvi—
TOT AL AMOUNT DUE / r/
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL Ir�I ALTER REPAIR REROOF RESIDE J MOVE WRECK SICrN
7 t I
SQUARES - U 1 l 1 1(—'I
BY X
Owner a- /e...n/ '7; y /e le— Address .2 fr 02 .S ttiAm. / '<-
Architect O _ Address
ae-
Contractor R. C. 74, ' t ,,/ p re Address 7 1 ' &'4l r /Fos ie- /701/
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ 1 / 17( SG r< x r
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
BASEMENT 0 YES DETAILS OR REMARKS:
Q 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 er it can b Isasu
OWNER /CONTRACTOR SIGNED /,1�7
_ OK'D BY _