HomeMy WebLinkAboutPL 1978-1467 New Single Family FEE SCHEDULE Permit No. t �
CITY BLDG. J`1•(Jo CITY OF OAK ?ARK HEIGHTS Plan N
''cc_Itti (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT /7•S6
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date �^ — /CO 19?
TOTAL AMOUNT DUE / ��
STRUCTURE USED AS
HANG
BUILD PLUMB. REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK ^ LD P HEAT INSTALL U ri 1 -
SQUARES I I IV I 1 1 1 I n U l 1 U ■
BY X I �Y /��
Owner [S.,‘......) g Address , . (O 0/ () bc.-..'' G 4J`e fl •
Architect Address U
cane. I Contractor 9tA...4...) Address
Contractor Reg. No.
■
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
Soo 0/ C9 '1C1.-4-A-) Cc..u.� r1 •
LOT • BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
t
DETAILS OR REMARKS: I Li L►,tr._
0
BASEMENT YES
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 a it can issued.
OWNER 'CONTRACTOR SIGNED /
OK'D BY _