HomeMy WebLinkAboutPL 1978-1305 New Single Family FEE SC ULLE Plan 1 � � °' CITY BLOG�. l �� l ��rO�� CITY OF OAK PARK HEIGHTS Permit No. 1
STATE SURCHARGE 1 Plan F r
BLDG. PERMIT 14 1 _Y1 ( For D ep -� �'
CITY UTILITY --- ���---- LLLaLaLLL«<///
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METRO S.A.C. APPLICATION FOR PERMIT
UTILITY CONNECTION I' �, —a
� 0
TOTAL AMOUNT DUE D to (.. 2o�
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT INSTALL
SQUARES a "-- = ALTER REPAIR REa F RESIDE MOVE WRECK E HANG
BY X Cl ID
Owner (rQ141AL, A'
Architect Address
Address
General Contractor _
R►a -m rk R ?1•. , c. • Address __2_'7 r 1.) 6 a L0 l J o /
Contractor Reg. No
NUMBER STREET
SIDE BETWEEN WHAT CROSS STR ET
4 3 <
LOT ILLICCII
ADDITION OR TRACT
I' It 4 I' , ' 111/111
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
•
WIDTH LENGTH HEIGHT
NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT O YES DETAILS OR REMARKS:
(7 NO • Ill �,A- AA.i14
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.
C�G/7 OWNER /CONTRACTOR SIGNED
/ O / L. OK'D BY