HomeMy WebLinkAboutME 1976-1001 New Single Family r
FEE SCHEDULE Permit No.
v_I� ado
VILLAGE BLDG. J , VILLAGE OF OAK PARK HEIGHTS Pl an N o.
STATE SURCHARGE 1 (For Dept. use only)
BLDG. PERMIT eZ- s .,,
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. S.A
UTILITY CONNECTION Date A1ri I 14 191L_
TOTAL AMOUNT DUE 7 ':'.= 1 d nC
STRUCTURE USED AS
REFRG . HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WIrRE�CIK SIGN
SQUARES
I H `I ^ I 1 U ^ 1 1
BY X
ri
Owner 'r. and ''rs. '?ohert Johnson Address 14`'I -- 'th *1r.=e+
Architect Address
I`Inn'- ti c
1ti gi Contractor S0HIIAP!T`S . 1 %;r., Address I ?" ^�7; i c aV�nl1 -. ' " nrth • Gt i I I , ,,a +,r
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14581 55th 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
STRUCTURE
$ T• 50 DETAILS OR REMARKS:
BASEMENT O YES 'Icinn ^!n_ 1;17r:3-110 1 annny
7[ NO
1.25
15.00 gas -fired heating system: 110,000 BTU input
.50
524.25
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 Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED SCH4.',IA21 c c °!C.
OK'D BY _ ‘f/aTc-.Ced—
President