HomeMy WebLinkAboutME 1979-1659 New Single Family - VOID Permit No.. A--s i
FEE SCHEDULE
CITY BLDG 072 ' CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE "
BLDG. PERMIT 04-24.129
CITY UTILITY
FXTFRNAI PLBG. APPLICATION F ! R PERI
METRO S.A.C. �`
UTILITY CONNECTION ` 1 \O Date /l — 197f
TOTAL AMOUNT DUE `
REFRG \ STRUCTURE USED AS
. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK —
SQUARES 1 I I I n I SI I C a
BY X 11 \
Owner ,Address
Architect Address
General Contractor ! ..' Address Qe eZ-) `
Contractor Reg. No. cg i4G- ' /9a0 8 r/./.01�
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/Vier 5 slv /
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
I FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: I �� AtI2-.n
BASEMENT 0 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 befor -milt can be is- e.
OWNER /CONTRACTOR SIGNED d 4 . a- �..t:,
OK'D BY