HomeMy WebLinkAboutME 1984-2291 New Single Family FEE SCHEDULE Permit N o. /--
clTV ar.oG:. -_. 7?-p� 0 � CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
BLDG. PERMIT
CITY UTILITY
EXTERNAL RLBG.
METRO S.A.C. APPLICATION FOR PERMIT
VTIL,ITY CONNECTION {µ, Date 19..>
TOTAL AMOUNT DUE e � ' 0, _
STRUCTURE USED AS
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BUILD PLUMB. HEAT iNS ❑ AL�T REPAIR RER�OOF RESIDE MOVE WRECK SI
MARK ❑ El L]
5 UARES
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Owner __W L��'? �y i�C�{ [ _Z Address C hJ
Architect Address
General Contractor d. -Uri _ ¢ _ �n< = Address _.
Contractor Reg. No. ' / y,6 ` Pe c
NUt4BER STREET S €DE BETWEEN WHAT CROSS S TREETS
LOT BLOCK ADDITION OR TRACT v _
W107H DEPTH SIDE LOT CLEARANCE FRON7 PUi LDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE �
SASE�IENT
Q YES DETAILS OR REMARKS:
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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 9b i sue&
OWNER /CONTRACTOR SIGNED
I
OK'D BY _