HomeMy WebLinkAboutPL 1978-1465 New Single Family - VOID FEE SCHEDULE Permit No. I
CITY BLDG.. A. .0(j CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 'ctt (For Dept. use only)
BLDG. PERMIT C3 k
CITY UTILITY
EXTERNA. PLBG. APPLICATION FOR PERMIT Jo -1."..--
METRO S.A.C. �'7�j
UTILITY CONNECTION , ^(� D } � 19/J
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG V ` HANG
MARK BUILD PI�U MB. HEAT INSTALL ER REPAIR REROOF RESIDE MOVE WRECK 51
SQUARES l�/1 7 U
BY X —^ —^ 1 1 �. —
Owner £ i.) �
v +1-°, In s° . Address
Architect Address
General Contractor RA -1Y\ NR. S 01 Xv►-G Address C i 9 CU u /= 1 evl ) JC RCJ
Contractor Reg. No.
NUMBER STREET SIDE I BETWEEN WHAT CROSS STREETS
L6 OZARK
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 0 YES DETAILS OR REMARKS: 90 -f-g�l wA
BASEMENT `"a�����
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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 b e permit ca�nb
OWNER'CONTRACTOR SIGNED a ' (� ` -
OK'D BY
13'9
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