HomeMy WebLinkAboutBP 1978-1500 New Single Family FEE SCHEDULE ,e z_ No. /5-an
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CITY BLDG. /sr.+cr CITY OF 0 K ` RK HEIGHTS Plan No.
.. (For Dept. use only)
STATE SURCHARGE L9..
BLDG. PERMIT ,, / / /73,422
CITY UTILITY YTlo IDS SC I,/
METRO SAA.0 LBG. a OD �O '
APPLICATION FOR PERMIT
UTILITY CONNECTION aef?
9310, Date / �/f 197,
TOTAL AMOUNT DUE / 7 � ?r
STRUCTURE USED AS
BUILD PLUMB. HEAT INSTALL A REPAIR REROOF RESIDE MOVE SIGN
WRECK
MARK I(-') H C
SQUARES I, '! ( 1 n 1) H l I 1 1 1 l H
Owner 'iv 7 -✓- /�-�.� Address
Architect Address
General Contractor 5W#_ — Z.99 —L"v .. Address -/' t 0.41 A- +-oa-
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
3 /9/z4"7e /eE> z" 2/
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / 3 J / ! ±--- y� /
WIDTH LENGTH HEIGHT INOOFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 3 -Z 3 - //
DETAILS OR REMARKS:
BASEMENT " '
] ;v0
The undersigned hereby makes application for a permit to do Building Work as herein specified, - greeing to do all work in strict accordanc with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo . permit can be issued.
OWNER /CONTRACTOR SIGNED ✓r�.�1� / ��
r OK'DBY.i . / / /,
• AP.-' —