HomeMy WebLinkAboutPL 1979-1545 New Single Family Dwelling - VOID V0I ,b
FEE SCHEDULE Permit No. /3 %�
CITY BLDG. /5; 1J 9� CITY OF OAK PARK HEIGHTS Pion No.
(For Dept. use only)
STATE SURCHARGE ..<0
BLDG. PERMIT /67..W
CITY UTILITY
EXTER NAI PLBG.
A P P LICATION FOR PERMIT
METRO S.A.C.
APPLICATION FOR
UTILITY CONNECTION f / j/ ///JJJ %/#- /1 Date 4 L 972
TOTAL AMOUNT DUE 1
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR Ri R F RESIDE MOVE WRECK SIGN
SQUARES U
BY
Owner 41/Q, 7 7 ' 1)a/es Address ' v "'fvcf 4 a.G' a__
Architect Address
General Contractor Address
Contractor Reg. No. " (24--
Phe 777 7 5
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5127
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
BASEMENT
0 YES DETAILS OR REMARKS:
° N0 ba /ors i Tai -,e /',.<
/— /'' '4 1- / %� o e4,
The undersigned hereby makes application for a permit to do Building Work as herein specs ed, 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 p mit ca be issued. g 6�
OWNER/CONTRACTOR SIGNED /"RA�/`/ a /�
OK'D BY _ /" / Q� /" f