HomeMy WebLinkAboutPL 1977-1212 New Single Family n
Permit No. IDN`DN,
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDGi.`�/O�-� (For Dept. use only)
STATE SURCHARGE I c —IDV
BLDG. PERMIT ALVD
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Da /Tj
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REPRO ALTER TE R REPAIR REROOF RI SIDE MOVE WRECK SIGN
MARK BUILD PLU B. HEAT INSTALL I 1 I ^ 1 U
SQUARES I I f ` l --
BY X l
/
• (,' A , Address
Owner U � Address �� �� ����
Architect 9 V et.) Cr -(- a
R _�� C� t Address
General Contractor CJ . J,:7 J'
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
P / 1/6/ b ‘ S )" • ADDITION OR TRACT
C LOT BLOCK
CO 6 FRONT BUILDING LINE
WIDTH DEPTH SIDE LOT CLEARANCE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE I
//q
O
DETAILS OR REMARKS: O.VU N �,tj1
BASEMENT YES
,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