HomeMy WebLinkAboutBP 1978-1378 Re-Roof FEE SCH ULE Permit No. 1;1
CITY BLDG, CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE •
( (For Dept.use only)
BLDG. PERMIT D e
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT METRO S.A.C.
UTILITY CONNECTION Date lJ C/1e7601- /
t0 1 97)-
TOTAL AMOUNT DUE /inm p
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I X f I Li fl
BY X l JI
Owner 04V/d A . ,ekeou•c) Address / ?5 1 a q;q4-0- 17-7 57244a/41
Architect Address
General Contractor /44154.4/c" Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ oq G 3,eQ, soar* P,44mmi- — f'.4/5
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
STRUCTURE asft 3 6 / //a ,yr f q n � 4/5Q
BASEMENT
YES DETAILS OR REMARKS: f11
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 be e permit
be issued.
OWNER,/CONTRACTOR SIGNED L �
OK'D BY