HomeMy WebLinkAboutBP 1977-1193 Deck Add FEE SCHEDULE Permit No. I\.G3
CITY BLDG.. ••O/..O- CITY OF OAK PARK HEIGHTS Plan No.
J (For Dept.use only)
STATE SURCHARGE
19
BLDG. PERMIT ,+`)
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION , 191a
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TOTAL AMOUNT DUE WCaL)
STRUCTURE USED AS
REFRG HANG
MARK BUILD�--. PLUMB. HEAT INSTALL ALTER REPAIR RER-
OOF RESIDE MOVE WRECK SIGN
SQUARES -
I n
BY I �� p
Owner Address lS .X-5 S 7 `1 -• n
Architect Address
General Contractor i. Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ISI s�*4\ '\ S.
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
A3
STRUCTURE 5-0 O
•
0 YES DETAILS OR REMARKS: a..ka ,
BASEMENT
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accord nce ith
all ordinances of the City of Oak Park Heights.Contractors must register with the village before pgrmit can be issue
OWNER;CONTRACTOR SIGNED • t q-ti )3' / / ,
OK'D BY_ ////�