HomeMy WebLinkAboutME 1978-1435 New Church Structure d s- 0 o /
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FEE SCHEDULE Permit No. 14143r—
CITY BLDG. S CITY OF OAK PARK HEIGHTS Plan No.
7 v (For Dept.use only)
STATE SURCHARGE �/_
BLDG. PERMIT 46•C5
C ITV UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT q/ -7r
METRO S.A.C. n
UTILITY CONNECTION Date w'iuiri ' 197k
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. H SIGN—
ALTER REPAIR REROOF RESIDE MOVE WRECK GN
SQUARES
BYX -- -- —_,
Owner C'" U./ Address
Architect Address �e
General Contractor 42),.. L v�,144 44741-Address i/3.50 StX 6t#-c. / %/Lad yl.
Contractor Reg. No. ((//
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
0 YES DETAILS OR REMARKS: c2 _ ? .eN €1.4/44....S'€1.4/q
BASEMENT o2 _ S-77134--
T ` 04244441
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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 eerrmmiit-can
—be i d.
OWNER/CONTRACTOR SIGNED 5 y/�' al-ri
O K D BY_(((��! _llitgibilidoe--