HomeMy WebLinkAboutME 1975-993 New Single Family FEE SCHEDULE Permit No. ( q 3
VILLAGE BLDG. °"ii'� • .57) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE `
BLDG. PERMIT 2:0U
VILLAGE UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION , �:
Date ''arch IC 9 , �
TOTAL AMOUNT DUE p °SidAnc
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL I l ALTER TER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X ES I 2,<_. U t I PI Li CI
Dwner Swager Bros., Inc. Address 5398 Omaha Avenue North; Sti I lwater
Architect Address
§iatlittontractor . Schwantes . 1 nc. Address 6 192 Oasis Avenue "north: S t i l l w a t e r
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
4568 Fifty -fifth Street
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
RUCTURE
181-YES = 7.50 DETAILS OR REMARKS: Ilsinn I onnrrY '1n 017Q3
SEMENT 15.00
O NO 5n gas -fired unit; 82,000 BTU input
$23.00
to undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
I ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED Sr1- 11 .IR'\ITPS I'!r
i.
OK'D BY I Cfe- GLi`IL
President