HomeMy WebLinkAboutPl 1979-1544 New Single Family FEE SCHEDULE Permit No. / /4
CITY BLDG, CITY OF OAK PARK HEIGHTS Plan No.
_rQ (For Dept. use only)
STATE SURCHARGE -`Jy,/
BLDG. PERMIT 2,
CITY UTILITY
EXTFRNAI. PLBG. APPLICATION OR PERMIT
METRO S.A.C.
UTILITY CONNECTION X � /Z Date 447 1977
TOTAL AMOUNT DUE / G
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES X U x l l f ( E I C 0
Owner 777 )? 697 Address , 5 ` G V9 O a 1 - /C
Architect / Address
General Contractor 6 ft-0s 0-* Address
C tractor Reg. No. OO
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
SG 0 2 62-%
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH I LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT ❑ YES DETAILS OR REMARKS: yr
O NO \A
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 beeffoorr permit can be issued.
OWNER/ CONTRACTOR SIGNED /YK� L — LL7�ltE+r 16 �+'C .
OK'D B'