HomeMy WebLinkAboutPL 1978-1449 New Single Family FEE SCHEDULE Permit No. } ` q 1
CITY BLDG. 'Zc P lan t N
OO CITY OF OAK PARK HEIGHTS (For Dept. use only)
STATE SURCHARGE ' J d
BLDG. PERMIT
CITY UTILITY e
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. � � ^
UTILITY CONNECTION Date 19
TOTAL AMOUNT DUE r �
STRUCTURE USED AS
HANG
BUILD PLUMB. REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
P�-(EAT INSTALL L I I I(�
SO UARES I�j'� 1 I 1 n l l n U n n E. B Y X I
Owner 5 w O. q�� IV S Address
Architect V (] Address
General Contractor . 1'� �S - AR 1 �'�c . Address �1 6-4 Q \-%- k e
Contractor Reg. No.
_NUMBER STREET SIDE I BETWEEN WHAT CROSS STREETS
Z a V- K l f l
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
DETAILS OR REMARKS: I ' r� ,e....,‘.,, __ _!
BASEMENT
0 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 be permi can be issued.
OWNER 'CONTRACTOR SIGNED
1 a i OK'DBY_