HomeMy WebLinkAboutPL 1977-1178 New Single Family FEE SCHEDULE I Permit No. t V1 11
CITY BLDG. � CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE v (For Dept. use only)
BLDG. PERMIT 3.P
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D ^ ^
TOTAL AMOUNT DUE l `•f
STRUCTURE USED AS
REFRG
SQUARES BUILD PLUM . HEAT I INSTALL A REPAIR REROOF RESIDE MOVE IRE CK 41GN
MARK
B Y X I l r f l f
Owner 1Y\14/,-7. Address 1 L F ) — c ,..k I\
Architect Address \
GeRerel Contractor _ l 1 A _Wr • Address 1
Contractor Reg. No. t .0--g2 ' b I t_/
NUMBER STREET SIDE T
c-
�� BETWEEN WHAT CROSS STREETS
1X430% r s,04, $ .Yl
LOT B K 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
0 YES DETAILS OR REMARKS: t
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 permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY