HomeMy WebLinkAboutBP 1980-1738 New Single Family Permit No. _/ 7 5'
CITY
FEE
SCHEDULE CITY OF • r PARK HEIGHTS Plan No.
SUR CHARGE Ye
T ���j (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT / / / /
CITY UTILITY V
METRO SAA,CLBG. .44.-e APPLICATION FOR PERMIT
X0 vfl Date L - a U 19V d
UTILITY CONNECTION q ' ��
TOTAL AMOUNT DUE / S S STRUCTURE USED AS
HANG
BUILD PLUMB HEAT INSTALL
REFRG. ALTER REPAIR REROOF RESIDE MOVE WRECK I K SI N
MARK . �. H
I ( -'l
SQUARES —^ 1
B Y X -- �— —
Owner °�' Address
�' j�A 0 S /A, C Address ' c/ ff �/ 47/ii,(,4 iuc'
Architect � IU � � � '�
General Contractor
5.g/ Address
Contractor Reg. No.
L/39 - 7g //
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
5
LOT BLOCK
ADDITION OR TRACT g a. I , 36 K E /-17-5 4OD
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 8 5 /
/a 3e
`/s
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Ps Y ({ f / Z /
FRi4 M C 3,Z� 51-3-11"
DETAILS OR REMARKS:
BASEMENT 0 YES
NO
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 p! can be issue. t � ZiV t
OWNER /CONTRACTOR SIGNED G9
OK'D BY _