HomeMy WebLinkAboutPL 1978-1483 Remodeling .
FEE SCHEDULE Permit No. 14 q3
r�
CITY BLDG.. /• 00 CITY OF OAK PARK HEIGHTS Plan No.
[.� (For Dept use only)
STATE SURCHARGE �'3 Sb
BLDG. PERMIT
CITY UTILITY
gXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ` /I,,,. 3 (�"/i-7/�((y��
UTILITY CONNECTION Date / 1922
TOTAL AMOUNT DUE —
STRUCTURE USED AS
HANG
REFRG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR RE�F RESIDE OVi WRECK SIGN
—
SQUARES
51 7 BY X
P6,,,,,p„, ba,Jo 41,,, .
w I ' \-U2 Address 59`7.r £"-"''`-" .
Owner
Architect Address n 1
General Contractor � %el Address % • '= /r�.eQ
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
51?9,t" n.
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: A
BASEMENT �
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