HomeMy WebLinkAboutOL 1978-1466 New Single Family - VOID 1 Permit No. k4(11
CITY BLDG. FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE ••
BLDG. PERMIT
CITY UTILITY ,� 1 � �
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date 19 �
UTILITY CONNECTION
TOTAL AMOUNT DUE l ') , 7 1/11
STRUCTURE USED AS
REFRU RESDE MOVE WRECK S ANG
BUILD PL MEAT INSTALL HMARK SQUARES I .---- BY X
Owner 5 UAL a-5 e' 'r Piros Address
Architect Address ! /
General Contractor
RNA ' 1 pp �\ P 008. 4G. Address 97 (mil G-o /den ) rke Rd
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
V9/f 56 7Z
ADDITION OR TRACT
LOT BLOCK
I
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES
DETAILS OR REMARKS: I 9 0 J/ n /71 .S
BASEMENT U NO
/ 9 ' for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
he undersigned he makes application g
all ordinances of the City of Oak Park Heights. Contractors must register with the village b ermit can be issued
OWNER /CONTRACTOR SIGNED \n■
OK'D BY _
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