HomeMy WebLinkAboutPL 1977-1208 New Single Family FEE SCHEDULE Permit No. 0.. b
O
CITY BLDG,. Iq -U' b CITY OF OAK PARK HEIGHTS Plan
STATE SURCHARGE Permit N
`VD (For Dept. use only) BLDG. PERMIT I IV
CITY UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT _
METRO S.A.C.
UTILITY CONNECTION DatQ� C,, a /r9
TOTAL AMOUNT DUE �l fl o (
STRUCTURE USED AS
HANG
BUILD
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
PLUMB H EAT I I �_
MARK
SQUARES I I 1 V I I I 1 n n -
BY X u I ll --
Owner Address
Architect Address
General Contractor Address c l rl (k) Gd o.A , P.12.,
Contractor Reg. No. 9
NUMBER r STREET SIDE BETWEEN WHAT CROSS STREETS
/ Lie A/MIME
LOT BLOCK ADDITION OR TRACT
IIIFIIIIIMIO‘■I ' LAIL. G-
gr
WIDTH DEPTH 'SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I " rp .e i 9$�
BASEMENT 0 YES
0 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