HomeMy WebLinkAboutPL 1977-1213 New Single Family FEE SCHEDULE
Permit No. I' 1 7 2. 1
CITY BLDG.. 0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r / (For Dept. use only)
BLDG. PERMIT ,.,� V
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION DDT) 5 ^ "/� 192
TOTAL AMOUNT DUE � k /MJ d e
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. I U HEAT INSTALL 1 ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I I I I LI U 0
BY X
Owner - 1 I 1 \ GJ Address tq-7: 7 o■ S'co St h.
Architect Address
General Contractor Ra- T)i, t . f (b, jM.G . Address 9 ri (w t r> .Q--.. koi.k... 11,4__
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ v7� � �
LOT BLOCK ADDITION OR TRACT
1 3• 4 - 2
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT INO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE .
❑ YES DETAILS OR REMARKS: 1 044. 1AA - 9 9.•-°
BASEMENT / /
.0
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 _