HomeMy WebLinkAboutOT 1977-1257 Reside FEE SCHE ULE Permit No. ta,S /
CITY BLDG.. f OO CITY OF OAK PARK HEIGHTS Plan No.
1�(y\) (For Dept.use only)
STATE SURCHARGE i•s
BLDG. PERMIT /6'v Z+
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Do air r 9]
TOTAL AMOUNT DUE —� ���-ah...:
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF REE SIpE MOVE WRECK in
SQUARES I�Yn7'll
BY X
Owner LOAlt21,11"—) Address t --())Nt(2, ' 4h
Architect Ad ress
General Contractor ress
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
S—ba-lo UkL 3 S r1 'n
LOT BK ADDITION OR TRACT
... WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
•
WIDTH LENGTH I HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE �6 0 c�
J
ID YES DETAILS OR REMARKS:
BASEMENT 0 N
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 rmit can be issued
OWNER/CONTRACTOR SIGNED ' - /�` (/�'
OK'D BY O