HomeMy WebLinkAboutPL 1979-19623 New Single Family FEE SCHEDULE,. �"? '� Permit No. /4 3
CITY BLDG.. �r1? CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ,°} i, (For Dept. use only)
BLDG. PERMIT
CITY UTILITY • T
EXTERNAL PLBG. APPIICATIO FOR PERMIT q� —
METRO S.A.C. / //n
UTILITY CONNECTION 1 /4 of //VV / //r D ate 1979
TOTAL AMOUNT DUE (1Z ' C.
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I I I I I ` — U El ,Finr
BY X I `
Owner St ta 9 642- (2.-° 5 � ��� Address
hitect , 'inia._ _ Address
G p S :
' Contractor j --= — - Address i 'f' ) . 2 ,e-- '
ntractor Reg. No.
have
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
\,
W93 S6 - ST, L .
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
ird 0 DETAILS OR REMARKS:
0 YES O f4Ait.v5 S
BASEMENT / O . d d v
O NO . J-C) to
A. •.5
The undersigned hereby makes application for a permit to do Building Work as herein specified, . • .eing to do all work in strict accordance ith
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo p nit can b i
OWNER 'CONTRACTOR SIGNED .0G -4
OK'D B't