HomeMy WebLinkAboutBP 1978-1428 Pool ge
Permit No. �+ •
FEE SCHEDULE Plan No.
CITY OF OAK PARK HEIGHTS (For Dept. one only)
CITY BLDG. �q� /0 0
STATE SURCHARGE —° - =
BLDG. PERMIT R''� ^lUi
(�
CITY UTILITY a v
g� PLBG. APPLICATION FOR PERMIT
Date j 97SC
METRO S.A.C.
ITY —UTILITY AMOUNT DUE STRUCTURE USED AS
HANG
BUILD PLUMB. INSTALL REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
HEAT I [1] I ^I J - J II U
MARK �—
S ❑ fl E __
QUA
ev x RES
—
Owner ► u_M.
Address - r� 5 Ill
Address ?`"4- 57e ,
Architect Address/
General Contractor
Contractor Reg. No
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
L} I i . 4 ADDITION OR TRACT
LOT BLOCK
4 3 Su). • e.11 B . er 14 a • • - ,
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 11111111 ESTIMATED VALUE
STRUCTURE
WIDTH LENGTH
HEIGHT NO. OF STORIES I TYPE OF CONSTRUCTION
ig - 3 a (Poop ,20 p.
DETAILS OR REMARKS: P fCi
0 YES /. L u0 - r L�ivc f Lb
BASEMENT D NO S
-.on •
The undersigned hereby makes application for a permit to do Building Work as herein specified, agre itgao do al -d / in stri t accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village • 1111 `` —
OWNER /CONTRACTOR SIGNED It •
OK'D BY _.._