HomeMy WebLinkAboutPL 1981-1823 New Single Family FEE SCHEDULE Permit No. /�
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CITY BLDG. c f 9.v��V CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 1 . ( V
BLDG. PERMIT ,2 c ?'`.,?
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. _
UTILITY CONNECTION 0 I l ,? (, /( J / „_� � '
Date /
19 (./ TOTAL AMOUNT DUE Lvi/ J
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SI N
MARK BUILD PLUMB. H EAT INSTALL H 1 n H 1 1 1 1 .___ E
SQUARES /IIr/ —/ \—�i n BV X
Owner / .t..c.A`_A--' Address
Architect � Address
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General Contractor .'li1"�-r'i,v -a- Address
Co Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.-G 6D tf 4 1-
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
Q YES DETAILS OR REMARKS: ii o--p4„
BASEMENT
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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 can be issued.
OWNER; CONTRACTOR SIGNED
OK'D BY