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PL 1987-2684 New Single Family
FEE SCHEDULE Permit No. to 7 3 CITY OF OAK PARK HEIGHTS Plan No. CITY BLDG. _ /439439 (For Dept.use only) STATE SURCHARGE - '3 © 1/t 3 PLAN CHECK CITY UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT METRO S.A.C. .ya�" 0/'7 UTILITY CONNECTION Date J 1 19 b J TOTAL AMOUNT DUE _3 5 STRUCTURE USED AS REFRG HANG MARK BUILD P' ' PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SI N SOBY XES n " n n n n n n _ Owner Address Architect Address RAP J General Contractor �Rrd�,.��x `QIroS C e Address ys0 rowV�y 8•Trk. ^p1-14 hnh:4 142INA-zwr �o �0 . (I I�S-E-ra 1 S4 546 3 .q. Contractor Reg. No. 3 NO CONSTRUCTION TO START PRIOR TO 7:06 A.M. NUMBER STREET SIDE 1 BETWEEN WHAT CROSS STREETS 5311 O ,b wP lvo 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 O YES DETAILS OR REMARKS: BASEMENT o NO 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