HomeMy WebLinkAboutBP 1981-1904 Remodel - Unit 4 FEE SCHEDULE�7
Permit No. /7.:9.. /
CITY BLDG. ?2.SZ) CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE / Oa (For Dept.use only)
BLDG. PERMIT \53;c0
CITY UTILITY
EXTERN"`PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ;�ry�y
UTILITY CONNECTION Date 9 02/ 1`r���/
TOTAL AMOUNT DUE �� //`i/GL.0-�_
STRUCT RE USED AS
'r'`"a�\ REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
.71
n - n _ n
SQUARES
BY X
Owner D5 nn(5 p. OiAva_s (/`1 Address /b.S 1/ 'it /24- TU .
Architect `\ �" Address p
General Contractor I\ �A rI Y\K-4- Address /11 1 & - I .1' �V cA ( "A-.-tC
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
61 s- '1fie-4l_ IC24 N .
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ¶ OO 0 o'
❑ YES DETAILS OR REMARKS: `nLLO AN<<l Jl Y„L-k-y
BASEMENT 0 ,�
NO G l4 Q_(�� `�In
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 p It can issued.
OWNER/CONTRACTOR SIGNED AS_ i ),0 t`(\S(Ib`.-
` OK'D BY