HomeMy WebLinkAboutBP 1978-1454 New Single Family n
FEE SCHEDULE Permit No. IL K
1
CITY BLDG. /SO. '''.' CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE /le� Q
T
BLDG. PERMIT ,�'�//'� /5I7
CITY UTILITY ea• b 3
EXTERNA4 PLBG. — c / L0 APPLICATION FOR PERMIT
METRO S.A.C. J' �/'� P
UTILITY CONNECTION 3 nO, — Date i� 1`°
- - TOTAL AMOUNT DUE ,,,, `' 3 /�
STRUCTURE USED AS
REPRO HANG
BUILD
MARK PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
_ ,
SQUARES ix 1-1 1-1 U �r""J)I I('�I
BY X
.
I I ff .
Owner Address
i
Architect A Address
r✓
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
i
g ..g 4 /` ' G pi
LOT 34 /
WID TH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
2
STRUCTURE . , 7/` i (J / / v' / 7Lf}—aow, 3 `r.; S a .
DETAILS OR REMARKS:
BASEMENT 0 YES
o No
The undersigned hereby makes application for a permit to do Building Work as herein specified, a mg to do all work in strict accor nce ith
all ordinances of the City of Oak Park Heights. Contractors must register with the village before rmit can be issue m �
OWNER /CONTRACTOR SIGNED jj /I �� - /J
OK'D BY