HomeMy WebLinkAboutPL 1980-1772 New Single Family •
•
FEE SCHEDU 1 Permit No. / 7 7 .2--•
CITY
BLDG. CITY // CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t5 `7 (For Dept. use only)
BLDG. PERMIT mss.
CITY UTILITY
EXTERNAL, PLBG. APPLICATION FOR PERMIT
METRO S.A.C. q
UTILITY CONNECTION Date / —' 19 'Z
TOTAL AMOUNT DUE (` /
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK HANG
sir;ti
SQUARES I I I C C
BY X
Owner —.of. Address
Architect Address
rah- Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agre-ing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before . can be issued
OWNER/CONTRACTOR SIGNED '
OK'D BY