HomeMy WebLinkAboutBP 1978-1391 New Single Family ,rte
FEE SCHEDULE
Permit No. 1�Q
CITY BLDG. OO CITY OF OAK PARK HEIGHTS Plan t N
(For Dept. use only)
STATE SURCHARGE i 7• S _ ' r
BLDG. PERMIT T7. /1
CITY UTILITY /4,•b - 1 / It / �$
EXTERNAI. PLBG. J /'v APPLICATION FOR PERMIT /
METRO S.A.C. /� _ �j 7i ]i 7 n7&
UTILITY CONNECTION 300. Date 19/
I
TOTAL AMOUNT DUE (Fi
STRUCTURE USED AS
HANG
BUILD PLUMB HEAT INSTALL Al TFq REPAIR REROOF R� SI RESIDE MOVE WRECK 51 N
MARK . TAL ALTER
II EPAI C
SQUARES , —•
BY X __ -ig a 9 gt...E- . ..-v,r
Owner
Z.,,, 9� C� I , A ddress
Architect Address
General Contractor
40k/L}--0S -v‘2 f L� c Address , j'79/ e /h ,it. ,÷79-
Contractor Reg. No.
NUMBER -. STREET SIDE BETWEEN WHAT CROSS STREETS
fr1a9/ 1i ✓J — zf d7, ' a IIc0 , 4_. t ,6
I
LOT BLOCK ADDITION , ORR TRACT
d` / e rcx4 'ate , -7-4../ deIW %
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT id / 3J / r` ,o,
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
�[ , y / �ii .-�.r� oos
STRUCTURE 2 / Sip /
DETAILS OR REMARKS: I
le
BASEMENT YES
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specifi , agreeing to do all work in strict accordnce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef a permit can issue L ,/ 6�V�
OWNER /CONTRACTOR SIGNE d` 7/
OK'D BY}.7. L i �Z�'