HomeMy WebLinkAboutBP 1972-1250 Remodel Permit No. '��
FEE SCHEDULE Plan No.
CITY BLDG.
— S'LS' CITY OF OAK PARK HEIGHTS (ForDept,use only)
STATE SURCHARGE cr
� ,
BLDG. PERMIT iC'
CITY UTILITY
____—
EX-___ . PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date a�� 19-..aUTI L'TY CONNECTION
7L
______LY___________________AMOUNT DUE STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE I MOVE WRECK SIGN
BUILD PLUMB. HEAT INSTALL. ❑
MARK7 EI
SQUARES "—�
BY X X __
�� Address 5-7:V1-E^c.t �• aC z �ct
Owner , t Iv
Address
Architect Address
General Contractor -='-
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
--73r �c-1-cte4.4._ Cci `/1C ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT NM 1 5-Z' ESTIMATED VALUE
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION
STRUCTURE Mill ...9. 11101 .3-1,(,)6 CL.—
DETAILS OR REMARKS: 11. _%I '
-
YES
BASEMENT NO
c-04.,ig``c0 +l
ate— 77
,,(( ,, � jj issued.
The undersigned e e�y makel plla on f'd"r`a�p2rmit 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 befoi•-�it canbe 2
OWNER;CONTRACTOR SIGNED
OK'D BY