HomeMy WebLinkAboutSI 1976-01114 Sign . . . . . . . . . .
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FEE SCHEDULE Permit No. I/i'L
CITY BLDG. MI ." CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE /D *000 / l —' 4141/92_,BLDG. PERMIT
CITY UTILITY
EXTERNAI< PLBG. APPLICATION FOR PERMIT // ---/ --7
6.
METRO S.A.C. 1/� L`� 19
UTILITY CONNECTION D 1 C� ^
TOTAL AMOUNT DUE _ {],`
STRUCTURE USED AS
HANG
REFRG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK IGN
MARK
SQUARES l ,
BY X
Owner .d �; x;1 Address 6 "y3 " `. A
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STRErET I /+ FSIDE BETWEEN WHAT CROSS STREETS
LOT = OCK ADDITI.N OR TACT
r /7 % ....r:: cG K 3 M C N/7,
ce (c;d 7
FRONT BUILDING LINE
WIDTH DEPTH SIDE LOT CLEARANCE _
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 1 t 3' Q «
( la' 6 �� 00.7-0). 9QG ai
(� DETAILS OR REMARKS:
BASEMENT 0 YES i
p NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict ac • ••nce i
all ordinances of the City of Oak Park Heights.Contractors must register with the village befor rmitj n b: i - -d. /
' I
OWNER/CONTRACTOR SIGNED a
OK'D BY