HomeMy WebLinkAboutPL 1977-1239 New Single Family FEE SCHEDULE Permit No. 1 •d1T )3C 1
CITY BLDG. :- C3 CITY OF OAK PARK HEIGHTS Plan No.
_�� (For Dept. une only)
STATE SURCHARGE
BLDG. PERMIT ._.5_.�b
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. I� ,p�
UTILITY CONNECTION D --�/• 1 - 11
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD P U B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ I I n -^ I I [ I U fl U fl
Owner VA 111)- AL AS-- - - —■ -== -41, Address
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Architect , Address
• — 1 W
General Contractor a' �..� Ent , Address
Contractor Reg. No. ( C' s5
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT 1/4.. ADDITION OR TRACT
lb I
,_.0cLe. 60,o_x_a
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS: 1 1 ,�
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 _