HomeMy WebLinkAboutBP 1977-1218 Addition FEE SCHEDULE Permit No. 4:2—iv
CITY BLDG. 2,. y"{ CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 7 y ••••����yyyy-------- (For Dept.use only)
BLDG. PERMIT
CITY UTILITY
EXTERNALPLBG. APPLICATION FOR PERMIT
METRO
S.A.C.SA
UTILITY CONNECTION Date 7 1977
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSITTA• —L,L N
ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
SQUARES I I _J -- _r
BY X I I
Owner �%U"- ` • Tts��• Address u:iyO,r,cn,vA: 11
Architect LANrv,'Oest- Y4.z Address ' y4at•-'41;4't• .`+44`1'
General Contractor N•.LNd 4-Qtv&suirA:•t3v,lozes• Address Toho `-617-' Si•N• -•,11.W-en fllin)N.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
S ly O%E?\e w t _N• vtelk-. 5-lit wNd .pL �rvc
LOT BLOCK 1.,„ ADDITION OR TRACT
1-1 Z eg_ "#Gn_, 4+I> 4bb.
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
CIS
LOT citp� ./ 131 s 1
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE /9* 3 Q ! / <I 7j CD
BASEMENT YES
DETAILS OR REMARKS:
IN 0 0
F—..5 ,-. l T r7
r
The ea :Ica' or perm. tro do Building Work as herein specified,agreeing to do all work in strict accordance with
all ordinances of the City of Oak "ark Heights. ontractors must register with the village be permit can lbe issued.
OWNER/CONTRACTOR SIGNED Mi�+r u-. ', \a..R.NDi%
OK'D BY