HomeMy WebLinkAboutPL 1977-1240 New Single Family FEE SCHEDULE Permit No. 1 )s.
CITY BLDG. C2-.4-00 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r St) (For Dept. use only)
BLDG. PERMIT q( -4
CITY UTILITY
ET PLBG. APPLICATION FOR PERMIT
METRO S.A.C. S.A
UTILITY CONNECTION fe j1
TOTAL AMOUNT DUE
STRUCTURE USED AS
•
REFRG HANG
MARK BUILD PLI,J►)B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I —_ —_ 1 U C
BY x l
Owner AZA6Zeitt_SILLnNtg ,t1.911j Address t h •
Architect Address
-Ge e767 Contractor 1'1.-V(NG.. r . . Address q71 Lli IL cam.- ,ti1.1.
Contractor Reg. No. U.A 0 _SIP l.A.0.o S 1 ti
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
■43AL C>, & 4 �.. k
LOT K ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE I
BASEMENT
O YES DETAILS OR REMARKS: b
O 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