HomeMy WebLinkAboutPL 1978-1311 New Single Family FEE SCHEDULE Permit No. `?) I i
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CITY BLDG. ! 7 -Mr CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT i
CITY UTILITY ` _ �� (�
EXTERNAL PLBG. APPLICATION FOR PERMIT a
METRO S.A.C.
UTILITY CONNECTION Da( }� —4-44—
] 1977
TOTAL AMOUNT DUE KWO_•A
STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES BUILD PLUMB. HEAT INSTALL � �� Ill ^ 1
MARK ���� I
I 1 / fl I •-�
B I 1111 -- / �;
Owner
� `_ - ~ ' ��1 . • . Address .� /! /4 /1 ,' °>✓
Architect Address
General Contractor e t —
R . b . i Address qi7 Ll / 6-6 1,,cL e.,. 1 1 ke. kd
Contractor Reg. No.
NUMBER STREET SIDE l BETWEEN WHAT CROSS STREETS
4 /3 7Q . G 71 St. `I
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I n �p2 ■rCtS
BASEMENT ❑ YES 1 CT
❑ 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'DBY_