HomeMy WebLinkAboutPL 1977-1207 New Single Family FEE SCHEDULE Permit No. 1•A
CITY BLDG. —V—LDO CITY OF OAK PARK HEIGHTS Plan No.
,a) - (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.G.
UTILITY CONNECTION DaL
TOTAL AMOUNT OUE � i r` lwlwss
STRUCTURE USED AS
REFRG HANG
MARK H BUILD PLUM R MOVE W
HEAT INSTALL ALTER REPAIR REOOF RESIDE MOVRECK SIGN
SQUARES n H _^ 11 n n n C a
BY X H
Owner i* i��- "'O' Address
Architect Address ,> /,
General Contractor ( Address 9 7 li� r,-,'Q -� ./at., PI'
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT ROSS STR ETS
L13 73 L 4
fl...
LOT BLOCK ADDITION OR TRACT
7 a LV.3 Q-- ) 12_A •
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT .
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
O YES DETAILS OR REMARKS: 9' (y f _ i .,, ge / 9.sa
BASEMENT O
L., •
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
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