HomeMy WebLinkAboutPL 1979-1642 New Single Family n
FEE SCHEDU A re Permit No. 16y�
CITY BLDG. ` `• CITY OF OAK PARK HEIGHTS Plan No.
l it
(For Dept. use only)
STATE SURCHARGE t �V S .�
BLDG. PERMIT ' /`7,( V .
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT r17 7
METRO S.A.C. / ` 3- � 7/
UTILITY CONNECTION p ! � r v � ` l V 2 Date
TOTAL AMOUNT DUE L1
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMggq. HEAT INSTALL _r ALTER REPAIR REROOF RESIDE MOVE WRECK SI N
C C
SQUARES a
BY X .__ �. .__
Owner Address
Architect Address
General Contractor �� CPS Address
Contractor Reg. No. /vim^ -°Z ' 5 c'
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/V7o9 ■SZ
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
DETAILS OR REMARKS:
BASEMENT 0 YES
0 NO Ope't11✓ )f
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 per can be issued. ' c
OWNER /CONTRACTOR SIGNED
OK'D BY