HomeMy WebLinkAboutPL 1979-1510 New Single Family FEE SCHEDULE Permit No. /5":40 CITY BLDGi. J ' L Or, CITY OF OAK PARK HEIGHTS Plan No.
.� �q (For Dept. use only)
STATE SURCHARGE r
BLDG. PERMIT . 5..5
CITY UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C. /Ur- /� y���
UTILITY CONNECTION /� ' /// f I]at � 7
- / I
TOTAL AMOUNT DUE L� ! y
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
UM
BY X 1 Fl
Owner�y "�►r • ���. .IZ �2rG2 — Address - 5. - 4 r � 3 CYa.
Architect Address
General Contractgd� J .. P. . \$# • Address
Contractor Reg. No.
ADS
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT -LOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
ES
DETAILS OR REMARKS: // _ r
BASEMENT �
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 permit ca• •e i •.
OWNER,'CONTRACTOR SIGNED
OK'D Bl