HomeMy WebLinkAboutPL 1979-1511 Bath Remodel I
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FEE SCHEDULE Permit No. ■
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG, ```` (For Dept.use only)
STATE SURCHARGE . iv`
BLDG. PERMIT 7,50
CITY UTILITY g�g�
EXTERNAL PLBG. APPLICATION FOR PERMIT /
METRO S.A.C. !' /� n /J �Q �/ / �9a-
UTILITY CONNECTION (S/(l�Ij' Ir�/Jn - Date l ll��---
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN.
MARK BUILD PLUMB. HEAT INSTALL 1 1 11 U U
SQUARES X S I I Il
♦1f.4^/ GC�r�i.�.tJ / ' Address Co33Z "my; !g!/,E, N
Owner /v� , G�
Architect Address .tl� _
General Contractor /1 //4'-�f
ea Address 5 / /�L �� 4'��'n'
Contr ctor Reg. No. V
Maher 3 ?-309/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
(3.3 a_ .00 -i'.J
LOT BLOCK ADDITION OR TRACT
I
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE •
STRUCTURE
DETAILS OR REMARKS: •Pc74,m iiii4,/ 7',j
BASEMENT YES
i /
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 C f7
OK'D B\ -/ .�C-dLLPh