HomeMy WebLinkAboutME 1980-1770 New Single Family FEE SCHEDULE Permit No. J 7 9 0
CITY BLDG. ,4,2 •S a CITY OF Or i b,' HEIGHTS Plan No.
��� (For Dept, use only)
STATE SURCHARGE 1.5—C3 3 0� �/ /I
BLDG. PERMIT /
CITY UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT ^
METRO S.A.C. Cw' n UTILITY CONNECTION Date / 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD P UM . HEAT INSTALL __ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I I I n n —^ ^I
BY X / /� \ �—
Owner l c. Ot.Kmcl'Yt_ Address 1 4 6 C 562141
Architect Address
Contractor 8 ,, t . Address IgO6 S • G 1¢
Contractor Reg. No. Q
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
IL 5 0tIN
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
72 s`o DETAILS OR REMARKS: .€41std)?A v of
a YES / o
S .o
BASEMENT
0 NO h2.,-3+l Sl���,
I
62 600 131%1_ _,-----
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing t o al ork in tri nce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo e o.
al
SIGNED
_ `OF PERMIT' ONLY
OK'D BY