HomeMy WebLinkAboutPL 1979-1640 New Single Family - VOID f
FEE SCHEDULE Permit No. .M 5
CITY BLDG.. /(670 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /3 (For Dept, one only)
•
BLDG. PERMIT /.5;5Q
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. n
UTILITY CONNECTION Date ] -3 19 9?
TOTAL AMOUNT DUE 9 ,ll � 71
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALT R AIR EROOF RESIDE I MOVE
WRECK 5
5 X N ES I l 11 I l I
• 617-3.C" ` S�
Owner 1 ` Address
Architect Address
/ /
eunera a
l- Contractor . AV I /761 � � r Address �� � � `Cf
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ W.35 .5 4s<
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
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, -_ r ng to do all work in strict accorda ce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo 't can .e issu-.
OWNER /CONTRACTOR SIGNED ' _OA
OK'D BY ,