HomeMy WebLinkAboutOT 198x-1703 Residing FEE SCHEDULE Permit No. /7003 CITY BLDG. go at; CITY OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE ir7c__ /
BLDG. PERMIT to _�5
CITY UTILITY 3 ct /�
EXTERNAL PLBG. A f EUCATIO??99 FOR PERMIT
METRO S.A.C. 'S/
UTILITY CONNECTION Date 19 --
ini
TOTAL AMOUNT DUE A i r
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RE.�IDE MOVE WRECK tIGN
MARK
SQUARES I l I l I l)(1
BY X
Owner 1 1 . .217/,1'1') 9-y — Address I 1 "' I C `> ` 1)"6
Architect Address _ / ' / �
Address Zf �5 kJ' C OLL-/C/� /`—(�--t
General Contractors '
_Contractor Reg. No.
-7"hon e
NUMBER STREET SIDEBETWEEN WHAT CROSS STREETS
L I .S'0
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH I HEIGHT- i NO.OF STORIES ` TYPE,OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE I
T-'-'-' `1 35-2) �--.,
ES DETAILS OR REMARKS:
BASEMENT
l..j ,°O
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 be' s d.
OWNER/CONTRACTORSIGNE-
OK'D BY