HomeMy WebLinkAboutPL 1977-1180 New Single Family Permit No. \A ZO
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG]. '- a•. ) .0 0/� V (For Dept. use only)
STATE SURCHARGE ! � O w V
BLDG. PERMIT d �V
CITY UTILITY
EXTERNAL PLBG• APPLICATION FOR PERMIT l
METRO S.A.C. „
9
UTILITY CONNECTION to 111
TOTAL AMOUNT DUE �
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RI SI RESIDE M� WRECK SIGN
BUILD PLUMB. HEAT INSTALL � ^ U
MARK U ( l I ) f 1
SQUARES f I l
UAR i C
Owner l-�'
Address I �� d r °� `� h.
Architect v ■ Address `� n n ..L t ?4
,f. ercE�
�- ntractor Address '6 /,1 - .Lo �(
Contractor Reg. No. k`t 6n q - ��� G i‘
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1it330 �r c C'‘ . Y .
LOT B ±1< ADDITION OR TRACT
C
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH
NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I I O ,
0
BASEMENT YES
p 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
OK'D BY