HomeMy WebLinkAboutPL 1978-1470 New Single Family Permit No. 1 \--1-7 O
FEE SCHEDULE Plan No.
J__9-0,„,,,O CITY OF OAK PARK HEIGHTS For Dept. use only)
CITY BLDG. SURCHARGE
STATE PERMIT 94
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BLDG. PERMIT CCJJ
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ate — 1(� /^/
9
UTILITY CONNECTION
TOTAL AMOUNT CUE STRUCTURE USED AS
B HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BY X BUILD PLU 8 HEAT INSTALL . I
MARK I II 1 1 n n El
SQUARES ,�! `_ 1111 /!
/ —. Address / ° " " ' �J
Owner �� -_ - --=�'�
d Address
Architect O f�
i a}- Contractor Address
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
1m i g 5 & -)-'' .
LOT BLOCK /I•
/�J ADDITION ORTRAC
I eft ,...,,,Q_ -�"'t
WIDTH DEPTH
/ J SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
1 DETAILS OR REMARKS: I O p-�
BASEMENT YES
Lr i0
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 beforeIt ca �b� u��
OWNER. 'CONTRACTOR SIGNED
OK'D BY