HomeMy WebLinkAboutOT 1977-1252 Reside FEE SCHEDULE Permit No.
CITY BLDG. CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE _� (For Dept. use only)
BLDG. PERMIT —7-_
CITY UTILITY
EXTERNAL PLeG. APPLICATION FOR PERMIT
METRO S.A.C. S.A
UTILITY CONNECTION Date.
TOTAL AMOUNT DUE 4444,€4
boa. �i ^�
STRUCTURE USED AS
REFRG HANG
MARK
BY X BUILD � PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK 51 N
SQUARES l Fl I ^ ) II-1I El El 7 7 l 1
Owner, RIC IICA Address 1.4 .S1tA SkA1 tert Pr M; A
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE „AX,
❑ YES DETAILS OR REMARKS: � `r
BASEMENT C74
❑ NO
t21 cub RAP '�,
c�
The undersigned h eb y7makc�s 8g Zcation 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..
�efor
OWNER /CONTRACTOR SIGNED [ / (OII4{ p� R QM
OK'D BY