HomeMy WebLinkAboutBP 1977-1261 Kitchen Remodel r1
FEE SCHEDULE Permit No. I -1‘ 0 I
CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. IQ.00 (For Dept.use only)
STATE SURCHARGE ._1=—
BLDG. PERMIT U
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 7
UTILITY CONNECTION Date .CP ` t9
TOTAL AMOUNT DUE 41
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL A_L,TF�R REPAIR REROOF RESIDE MOVE W PECK SIGN
MARK
SQUARES I I 'l`' `I —
BY X / �,, �� a ,, �,p
Owner � . i'- * t"-"""', Address n` 9 L D l�y�`""""""'^' ""' `�
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
G
STRUCTURE boo•
0 YES o 3s-Ge,- DETAILS OR REMARKS: I!_a A 1 ;� ` '-_
BASEMENT 0 NO (' _ l'
.o D G i yi ra.t •, s 1 1 t{ i......51._
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work) rict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before per ' ---issued.'
OWNER/CONTRACTOR S[GNED ^—a.—_,
OK'D BY