HomeMy WebLinkAboutME 1979-1647 Fireplace FEE SCHEDULE Permit No. ./ 97
CITY BLDG.. g-442„. CITY OF OAK P K HEIGHTS Plan No.
STATE SURCHARGE : // (For Dept.use only)
BLDG. PERMIT __ ( 27
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date, it)` 30 197?
TOTAL AMOUNT DUE 'kilt
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STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE l MOVE WRECK Sn
SQUARESIGN
ri
BY X
Owner !ItJ)/) U,c K. l L nQki Address
Architect Address
General Contractor S Address
Contractor Reg. No.
X439-R4a,
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
6115 'PanikA. OAA1,g0
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT 1
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ort,
BASEMENT
0 YES DETAILS OR REMARKS:
❑ 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 eye permit can be issue
OWNER/CONTRACTOR SIGNED Z-i_On n.o_ tko ,rvA
OK'D BY