HomeMy WebLinkAboutPL 1977-1214 New Single Family Permit No. 1 . A 1
FEE SCHEDULE
^�//(( CITY OF OAK PARK H Plan No.
CITY BLDG. �:3�JtJ (For Dept. u +e only)
STATE SURCHARGE __L OD
BLDG. PERMIT a3r1
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT 14115:61 !�
METRO S.A.C. D —� �l
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
BUILD PLU B HEAT INSTALL
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK . �_ 1 7
SOBV XS __ 1 1 1 1 1 1 _ I _ l I (1 —
N,, Address 1 4-34"1 ka►b�hSttl
Owner �����
Architect y Address
General Contractor
d.-277 P • Address 97 Ce.1 ,' - '.oe i 4
Contractor Reg. No. # 9 G) 9
NUMBER
ST FEET SIDE BETWEEN WHAT CROSS STREETS oC
i L /3y , h •
ADDITION OR TRACT
LOT BLOCK � �%. Av` �,� ^ `
O ' ` f FRONT BUILDING LINE
WIDTH DEPTH SIDE LOT CLEARANCE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: Q ,�C7 ,�. °
0 BASEMENT
J rJO
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