HomeMy WebLinkAboutBP 1979-1607 Remodel FEE SCHEDULE Alt Permit Na. ,./‘40
CITY BLDG. .d`d CItJ 4 •A PARK/�JPARK HEIGHTS Plan No.
STATE SURCHARGE 163' // � (For Dept.use only)
'/4
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG.
APPLICATION FOR
PERMIT S.A.C.
UTILITY CONNECTION Date 7/t '•y,
TOTAL AMOUNT DUE 7n'/�
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE IRE IK SIGN
SQUARES II
I I I(�Yr7`JI( JI(MOV I^
SI
BY X
Owner --1�.4ziEc /VE/Z.L Address /5�30"S'' — K Aid
Architect o• S/-F,v, $3 ) Address cZfJS E. 0,41•11g--7-
General
f7A.G1lg-.TGeneral Contractor SALLA' Address
tractor Reg. No.
knc : X39-O 9S—
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/5-33c S8�"',dF. ,
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
/360
BASEMENT 0 YES DETAILS OR REMARKS:
0 NO
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 permi can be issued
OWNER/CONTRACTOR SIGNED LK e - V
OK'D BYif