HomeMy WebLinkAboutBP 1980-1710 Repair •
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Permit No.
/7/O
FEE SCHEDULE
CITY BLDG.. ka2872 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
AST,
(For Dept.use only)
BLDG. PERMIT
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CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. APPLICATION
UTILITY CONNECTION Date 07\3 19 el,
- - .. TOTAL AMOUNT DUES.
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REP R REROOF RESIDE �CVE WRECK SIGN
SQUARES l I 1
17
BY X
il
Owner A) /N ( 11-/li -7Address/v 2c;143- "G AN 7/�:1,12.i.46
Architect Address
General Contractor Address
Contractor Reg. No. (,
/7e,; lf37 ._ 7 �" v 7
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING L'NE
LOT
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE5-- /�� C 0
`/
BASEMENT O YES DETAILS OR REMARKS:
0 NO
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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 permit can b issued.
OWNER;CONTRACTOR SIGNED ' ....,
...-. OK'D BY !77 '(nom /(j."1.7../(j."1.7........