HomeMy WebLinkAboutBP 1978-1410 New Single Family FEE SCHEDULE Permit No. ``'YIV
CITY BLDG. 3 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 1 �O• d � i.p (For Dept. use only)
BLDG. PERMIT 4.62 TO•J
CITY UTILITY ____ 3
EXTERNAL PLBG. '•• APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION 3oo,— Date 7fI y 19
TOTAL AMOUNT DUE lQ • � ^
STRUCTURE USED AS
REFRG HANG
BY X
BUILD PLUMI HEAT INSTALL � 7 �
MARK
ALTER REPAIR REROOF RE WRECK MOVE WREC S
(
SQUARES I 7 7 1
Owner .Cwf9 C v"' L v r V Address 'l 9 6 erk1 �fia
Architect ✓ Address
General Contractor Address ✓
Contractor Reg. No.
NUMBER STREET / SIDE BETWEEN WHAT CROSS STREETS
I �7 ,1 / 0 f'� V - oro d Ic oo p --- o 2- --f--c- 4 c
LOT BLOCK ADDITION OR TRACT
/ c Si 042 v. .e c ____✓ 7.---
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT O J 3...., ?/,O — Y 3
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 y 77,<:, /
BASEMENT dYES DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, eeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor ermit can be i `„ �
OWNER /CONTRACTOR SIGNED ` %�2Jc_oo I �
G
• K'D BY -