HomeMy WebLinkAboutBP 1978-1336 Reissue of BP 1975-0890 - Fee Waived FEE SCHEDULE Plan No.
Permit No. 1.�k
CITY BLDG.
CITY OF OAK PARK HEIGHTS (For Dept.use only)
STATE SURCHARGE ^& 1SSW 6
BLDG. PERMIT N) J
CITY UTILITY •
EXTERNAI. PILO)O) APPLICATION FOR PERMIT
METRO S.A.C. 1�
N Date%'- 19—
UTILi7Y E
�If hIcY:
TOTAL AMOUNT 0 E
STRUCTURE USED AS
.. -.. HANG
REFRG ALTER REPMR REJ rEERROOOF RESIDE MOVE WRECK SI N
BUILD P �At INSTALL �--I ^^I I I {r'_II U
MARK I` I XI `
SQUARES
BY X s.
C
�A/v .l 4
r / Address ��' �'
Owner rl�� w�S�M ?�� � I �'�'/ � tt
p1 ,/G�'i Address �f�./1',. ,i ��, ///A:
Architect Ai�k L' < `'
c-/ // e!-M./+rl Address l)-/,�' f'Pv.TF?f L.-'tc 1,11,c,YI ,,„ /-1
General Contractor � .
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.S dos �s<1evC f -.
LOT BLOCK ADDITION OR TRACT
1 LINE
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING
LOT
• WIDTHLENGTHHEIGHT NO OF STORIES TYPE OF CONSTRUCTION y//-.
ESTIMATED VALUE
STRUCTURE D l ✓� (�'L' �� /�� �/ ��
DETAILS OR REMARKS: `��1SJCtec D BIZ <T
BASEMENT O NO YES .(t O COD Q. ,r/�� /25Z �rs c,AL ciL All,776 AJ
414/11, „V 4/4/Z
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance win
all ordinances of the City of Oak Park Heights.Contractors must register with the village befory permit can be issued.
OWNER/CONTRACTOR SIGNED ”�l L/"1^r r- v
o
OK'D BY