HomeMy WebLinkAboutPL 1979-1547 New Single Family Dwelling FEE SCHEDULE 3 / Permit No. / 97
CITY BLDG. /5 , CITY OF OAK PARK H EIGHTS Plan No.
/� (For Dept. use only)
STATE SURCHARGE . 5
BLDG. PERMIT /6":64)
CITY UTILITY +w
EXTERNAI. PLBG. APPLICATIO FOR PERMIT
METRO S.A.C. of
UTILITY CONNECTION Date / te 192.
TOTAL AMOUNT DUE �� / /� j'z`-1
I a / STRUCTURE USED AS
li'l & J
-S.. 3If EFRG / ' ��j HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK
SQUARES x I I 1 11 = 1 1 I
4 0, Address i��'` j"'G"`o Owner C,',:�G
Architect /�, n , /
General Contractor ( Address i �
/ Address .3 ter- -'- ,
Contractor Reg. No.
NUMBER �� STREET SIDE BETWEEN WHAT CROSS STREETS
7
LOT BLOCK
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS: 1 i - - ' ,- �• - ,2
BASEMENT ❑ 1
NO ./ / ,'- � - - ....t
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