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CITY BLDG. ' (U.O� CITY OF OAK PARK HEIGHTS Permit No. a (p
STATE SURCHARGE •tl. V
(For Dept.
Plan No
BLDG. PERMIT N5.A (J
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. r
UTILITY CONNECTION
Dar ' _ �ci 1911
TOTAL AMOUNT DUE (`�` p ( %'.,+"..w �J
gIttA-s l ,LL STRUCTURE USED AS
RE FRG MARK BUILD PLUMB. HEAT INSTALL r�
HANG
Sp BY XES 111 I I I I I I IN I� ^R REPAIR P REROOF WRECK SIGN
OF RESIDE MOVE WK
I ll I `I I 1 nI I a I u n
Owner t 1, 2, per' Address tot ` Pojues.. p
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE
6 itt r el--t-t,o - Cw.e.... n.
BETWEEN WHAT CROSS STREETS
LOT BLOCK
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
I LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
/L 91—
BASEMENT YES 1 ■ •) ( DETAILS OR REMARKS: - I 1
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 c be iissued. ,�
OWNER; CONTRACTOR SIGNED 771/4....- 771/4....- 41/ ,( 2 I e�L.I'4Ta /✓ /)
OK'D BY )'I