HomeMy WebLinkAboutPL 1978-1424 New Single Family n
FEE SCHEDULE Permit No. 1�'��'
G �
CITY BLDG.. , -J: CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE '
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ^ X 1r�
UTILITY CONNECTION e f/ J 19 77
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. L HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ 11 I'�/ 1 1 1 1 i 1 1 I n u_ n
sue, t t-6A l - 5 , � r) .
Owner 6 °' \ 2 YbS • _ Address
Architect Address
General Contractor R Q-``t'(\ a,R (- bg I 1 n c • Address a 7 W G'a LcLe -L W K (, Rd. .
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
11ia 6 r7 l ri
LOT BLOCK ADDITION OR TRACT
`.5 1 oLat9 > g) n C 3t
• WIDTH DEPTH O SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: i t ° b 0M.
t :A �.4
BASEMENT ` ,O
•
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 b rmit ca be issued.
OWNER 'CONTRACTOR SIGNED ^(��1�r`
111/d? OK'D BY