HomeMy WebLinkAboutBP 1980-1805 New Single Family FEE SCHEDULE Permit No. / .F S
CITY BLDG.. /..�9.p -p CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /7/7-6 /T7'1 / (For Dept. use only)
BLDG. PERMIT /S6
CITY UTILITY
EXTERNAL PLBG. "-° APPLICATION FOR PERMIT
METRO S.A.C. ..K C"2
UTILITY CONNECTION d�j � Date e " • �J ,A7- i$0
TOTAL AMOUNT DUE / ^� ,•� AL
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLU HEAT INSTALL 1 L ALTER REPAIR R EROOF RESIDE MOVE WgECWRECK S
I N
QUAR 7 If --Jtl TI S �r""�I C U
Owner C. • 5 G fl u p R E ie-- Address
Architect Address /)
General Contractor S fa / Address s r7 S 4 h1t h
Contractor Reg. No.
'3S — ? (1/
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
lY 9 0 - ` , '`' � ` ,,-s 1-i 1)74lK.-
LOT BLOCK ADDITION OR TRACT
1 ti KKR E 2 A Dad
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 3 3 /3 O /6 3
V
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE X it /6 / / Q,4y„-.G 3 /aoa °G
BASEMENT
YES
0 DETAILS OR REMARKS:
NO
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 City of Oak Park Heights. Contractors must register with the village before permit can be issued
OWNER /CONTRACTOR SIGNED _La/ S a1t.14-
OK'D BY / �]