HomeMy WebLinkAboutBP 1978-1434 New Single Family FEE SCHEDULE Permit No. -
CITY BLDG.. _[_.— CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /CS. (For Dept. use only)
BLDG. PERMIT I .
CITY UTILITY 44.b3
EXTERNAL PLBG. �G}� APPLICATION FOR PERMIT
METRO S.A.C. L[L'w^14-0.00 (�
UTILITY CONNECTION 13212e—'.— Date ' ,/ /_ 7 19 7.3 TOTAL AMOUNT DUE Rol: 63 �% -'�
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER I I(EC
LT REPAIR REROOF RESIDE MOVE WRECK SIGN
SD BY X t �(ILLD
' 1' I I I I l _� _. L 1 1
Owner
4 -5- ( -' 11i2.• Address ../ ! ��, Ai izi,v
Architect Address
General Contractor Address �.----
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
r,1 -,f3 O Z .4--x_ .kg" e
LOT BLOCK ADDITION OR TRACT
' 7/' o7 /-2r✓ 'Y
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 74 f /d — /6 0 l -f
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2'/ '7/0 / y / "7:—/2-79.3.16-
3
❑ YES 32 00o. DETAILS OR REMARKS:
BASEMENT y
The undersigned hereby makes application for a permit to do Building Work as herein specifi - •,.agreeing to do all work in strict accorda e with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef. permit can be issued.
OWNER /CONTRACTOR SIGNED / . I ,, 4 ��
OK'D BY d_ 13, ier
•