HomeMy WebLinkAboutOT 1977-1220 Residing FEE SCHEDULE Permit No. i X�
CITY BLDG. 1 ,. - 0 C) CITY OF OAK PARK HEIGHTS Plan No.
- 0 0 (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT T2 0
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D�7n�r`y')e� � � �/�) - � � �b /
_____
TOTAL AMOUNT DUE `� "� �����` -- �L-
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. H EAT INSTALL ALTER REPAIR REROOF i�ESIDE MOVE WRECK M SQUAR _- fl fl Li fl —^ 7I`l /�'[_/ \ylll
Owner c Qt A t■ ' Address 14 . . 1 — ZT tY1 - 1 1 •
Architect Address
General Contractor w 0 - ddress s _ A_ . — 1 111
Contractor Reg. No. _ 1 "'
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
\'t s`1 +h - \. 5
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 41 ll000
DETAILS OR REMARKS: p Kt� ��^p
BASEMENT
O NO 0 YES 1 /) �G —� , — �
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stric accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bell permit be isssyll.
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OWNER /CONTRACTOR SIGNED V
OK'D BY