HomeMy WebLinkAboutBP 1985-2409 Remodel - Carbones -4
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FEE SCHEDULE �-
Permit No. V
r CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. �-� v 439-4439 (For Dept. use only)
STATE SURCHARGE A. . g SC
PLAN CHECK y . 3e7
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY
LIITY CONNECTION Date NOV2ic� 9��-
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/C s. / 4,1. a.T
TOTAL AMOUNT DUE (�j i STRUCTURE USED AS
REFRG HAN
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG'
SQUARESix
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BY X I` l
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Owner ,OAC! �`1�/2.�`l C'r4/2.� a�L:.�' Address � " `
Architect vs b,c.i + Pi o i4A 2 c f1 Po.aN ftjaviCe Address 1/46-Y0/ WAY RATA A f3 L v,O tr 1I L C
General Contractor -S'Dn1=.,1c0A1 et.viS'T ./..71:. Address /cf/& C o Ai A.M."/ 37. ./ AU Z--
Contractor Reg. No. .
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.s 5 8 8 0 s G ao.o 1HW Y g 6
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES _ TYPE_9_F CONSTRUCTION ESTIMATED VALUE _
STRUCTUREF-X//—' 4 G f
1 95--ecc-)
BASEMENT
O YES DETAILS OR REMARKS:
❑ NO
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 . sued.
OWNER;CONTRACTOR SIGNED
OK'D BY