HomeMy WebLinkAboutPL 1978-1447 New Single Family FEE SCHEDULE Permit No. 1 441
CITY BLDG.. SZ a (1 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept, use only)
STATE SURCHARGE •S U
BLDG. PERMIT g°
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Q /cY �— ,^
UTILITY CONNECTION Dat `
TOTAL AMOUNT DUE
STRUCTURE USED AS
RE FRG HANG
MARK BUILD ALTER REPAIR RE ROI F RESIDE MOV WRE CK SIGN
^ LD LUM HEAT INSTALL � � � -^ I( C
SCUARES I I -^
BY X I I --
Owner 1+1 0 -T2=r- %h•o S Address
Architect Address
General Contractor 10.).- -mVITR 10 Address q"2 W (-'o 'Q -"Y`' Lex Rd
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
556 9 0 za\- k 0 ,n
LOT BLOCK ADDITION OR TRACT
1 14 90A.Litit. arG-a<Q
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 C
BASEMENT ' ES
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 •,re permi can be i--
OWNER %CONTRACTOR SIGNED
1 1 1 1 OK'D BY