HomeMy WebLinkAboutBP 1981-1829 New Single Family •
Permit No.
FEE SCHEDULE Plan No.
=Z i /) CITY OF OAK PARK HEIGHTS (For Dept.use only)
CITY B SDGUR 00
STATE SURCHARGE a
BLDG. PERMIT / L/LLYd—
CITY UTILITY Y�� -�0
��°° APPLICATION FOR PERMIT
U - y � �
M TNAL PLBG. QQ Z
METRO S.A.C. Uv 5 Date
UTILITY CONNECTION v?-/=_`_— ,/,� (O
TOTAL AMOUNT DUE
/021/20 STRUCTURE USED AS
HANG
REFRG. ALTER REPAIR REERR-OOF RESIDE I MOVE WRECK SIGN
BUI PLUMB. HEAT INSTa ❑ I I 1 U
MARK ILII Cl 1 II
SQUARES
BY X
i 0 4 K Address
Owner
Address ��
Architect 6 / Address 5-
General Contractor
Contractor Reg. No.
9 ~"I, /
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 5- O1" Fi �a ADDITION OR TRACT
LOT BLOCK l/ n Ai
9-- Mal 6 k„..) 4- t------x_ /3 gc 3
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT MEMIPM -3 0
ESTIMATED VALUE
HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION
WIDTH LENGTH , 11
STRUCTURE
9 O NM IX` 0vd��
P I
DETAILS OR REMARKS: -
BASEMENT 0 YES
NO
I
The undersigned hereby'Tlof Oak Park He ghts Contrapermit
ct rs mBst register with the village befspecified,
o a permit can be all work in strict acco�ance with
all ordinances of the City / `�� �►_
OWNER/CONTRACTOR SIGNED
OK'D BY