HomeMy WebLinkAboutBP 1981-1872 Addition Permit No.
^ ` / S77�
FEE sCHEOULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. �� (For Dept, use only)
STATE SURCHARGE -_, �'
BLDG. PERMIT
ly • lG
CITY UTILITY
EXTERNA PLBG. APPLICATION FOR PERMIT
METRO S.A.C. l
Date Z 14�
UTILITY CONNECTION
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL �I I ^ U C
SQUARES �( I HIE - .__ ._.
BY X L __ -
Owner -� Address
Architect ' Address
rchitect Address
General Contractor 1r-- t--1 -- 2 - — E•c��cJ — Address
Contractor Reg. No. —.0 -,---,,,,,,---. 0 ` cf. , _ - 4/ i
- 5 ' V - 7
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ADDITION OR TRACT
LOT
I BLOCK I
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
K; G",.,-; 0-7=1 STRUCTURE
DETAILS OR REMARKS: I
BASEMENT ❑ YES
❑ NO
/
•
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to o all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village be re perms 1;�� „n—
OWNER /CONTRACTOR SIGNED J , ,
OK'D BY
•