HomeMy WebLinkAboutPL 1979-1551 New Single Family FEE SCHED Permit No. Al �l
CITY BLDG. ,N2.4 O CITY OF OAK °ARK HEIGHTS Pl N o.
J'� (For Dept. use only)
STATE SURCHARGE .-.
BLDG. PERMIT 4:1°
CITY UTILITY
EXTERNAL PLBG.
APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION /�, �h�y'_L Date 5 9 197
TOTAL AMOUNT DUE ` NW / ` — �
STRUCTURE USED AS
REFRG
MARK BUILD OF RESIDE MOVE PLUMB. HEAT INSTALL ALTER REPAIR REROOF MOV WRECK H SIGN
SO BY XES II II II II II 1
a�
Owner ¶ r.[i Address
Architect Address
General Contractor 14,01 - 4.k Address
.ntractor Reg. No. //
Lo ri
SIDE BETWEEN WHAT CROSS STREETS
s
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 YES
L NO DETAILS OR REMARKS:
' (/
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreei r : to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before pecan be issued. •, ..
OWNER /CONTRACTOR SIGN
OK'D BY Air