HomeMy WebLinkAboutPL 1979-1509 New Single Family FEE SCHEDULE Permit No. AT/97
CITY BLDG. CA247 -0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t S �/J � ii11 /J� !�/ J/�v�t( i� rl (For Dept. use only)
BLDG. PERMIT e.�,,,SV ,1 /` (�Z' ` 7 -'- ,
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. /�
UTILITY CONNECTION Date - a-- 19a_.
TOTAL AMOUNT OUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD P - M O B. HEAT INSTALL ALTER REPAIR RE�OOF RESIDE MOVE WRECK SIGN
I SQUARES I I I V I ^^ -- U C
BY X
Owner A! Address SG 4 m ?-•
Architect A Address
w-
General Contractor. - Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT ROSS STR ETS
X 5 1 .2-
LOT B . K ADDITION CR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
Q YES DETAILS OR REMARKS: /771
Q 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 ;roan be issued.
OWNER /CONTRACTOR SIGNED �l"Ce
OK'D BY