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PL 1978-1312 New Single Family
FEE SCHEDULE Permit No. t ; 1 CITY BLDG,.©('''�O CITY OF OAK PARK HEIGHTS Plan No. •'v (For Dept. use only) STATE SURCHARGE BLDG. PERMIT a -, 'st CITY UTILITY 4 FXTFRNAU PLBG. APPLICATION FOR PERMIT 1 - U METRO S.A.C. UTILITY CONNECTION -� TOTAL AMOUNT DUE r uwA .21922± STRUCTURE USED AS REFRG HANG MARK BUILD PLUM HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK S SIGN SQUARES I E ` Ir - I j BY x pt sl Owner 6-C.4.1 X842, `t iic S - Co ST' Address Architect Address General Contractor \R A- MA R PI. h8, Inc. _ Address ' 7 Ui 6-6 1-el en 1 -. 14 Ice 2,1 Contractor Reg. No. NUMBER STREET L SIDE BETWEEN WHAT CROSS STREETS / s,1 LOT ADDITION OR TRACT 1'J 1 Z b , WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE Q vES DETAILS OR REMARKS: / a � O 1 e-rx 1 1. 0 S BASEMENT NO 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 i O 7 OK'D BY