HomeMy WebLinkAboutPL 1978-1310 New Single Family • 7 , C Permit No. � J � n
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG..+.�0 (For Dept. use only)
STATE SURCHARGE (
BLDG. PERMIT ■:.J--(:)
CITY UTILITY rQ
EXTERNAL PLBG• ' — APPLICATION FOR PERMIT _�l01 �7
METRO S.A.C. D to �Cj /�
UTILITY CONNECTION
.l.
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
BUILD PLUMB. HEAT INS
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK n 1� T - A - L I� L I l -_
MARK IIT�(J—/`J`I'II I I I I l I I I n n
SQUARES --
BY X
Owner WI i U P P]c.K Address
Architect Address
General Contractor
13 - P's R �� ba A nc. Address qJ r7 ( ) Go l -e-lp.vt 1-0c; kp. 2 ,-1.
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
1 I/3 59 ‘Ii
ADDITION OR TRACT
LOT BLOCK a p ,�'�. ^ (mil. ` ,�
WIDTH DEPTH
SIDE �T� RANCE � \( FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE l
DETAILS OR REMARKS: G& n \ a€;'(\ "\ S
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
1 00 9 OK'D BY