HomeMy WebLinkAboutPL 1977-1241 New Single Family FEE SCHEDULE PPlermit N No. 1x
CITY BLDG• an o.
;, CITY OF OAK PARK HEIGHTS (For Dept. s< only)
STATE SURCHARGE � �° �
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
rf
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK n BUILD PL HEAT INSTALL --
MARK �' I I I I n I 1 1$ SQUARES l �� --
BYX �\,,� , `,1
i c)-kre.- \`\A -�(C Address \ t�4 x Owner 41 b-
Arch itect Address
Address N - � � �' �— 1 � t
Co ontra
Regctor . No. 0 , 1 ��� ik
Cottor Reg r
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
k q400 �A. -k OM
BL ADDITIO TRACT
LOT `,,L-, v /t)
I
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH
HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: IS I 0—...." _
BASEMENT
0 YES
Ej 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