HomeMy WebLinkAboutBP 1979-1499 New Single Family n
FEE SCHEDULE Permit No. /4
CITY BLDG. _-_.tom . -. 0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE / A• (For Dept. use Only)
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BLDG. PERMIT L(6-: ?.
CITY UTILITY D ,9/
METRO S.A,C PLBG. APPLICATION FOR ; , MIT 13 - ae Zg
UTILITY CONNECTION. --- /
9/S• r — G� ( !/ Date .c d' 19 �y
TOTAL AMOUNT DUE , , # , /(r C7
/ cy �� STRUCTURE USED AS
REPRO [ (%
MARK BUILD PLUMB. HEAT INSTALL HANG
ALTER REPAIR RE ROOF RESIDE MOVE WRECK SIGN
SO UA X S �I �J/� fl 11 I I I I I I _` Ill Lll U Ill
Owner 4;9" /7,7 --6 t..-e1..../ Address J c' ^ °'e ����
Architect / Address
General Contractor SG✓ %sere i S i>APr . r, Address . £9,,, -i3
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
j ( 7 1 9// U "1 .r7 .T
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 4 /✓!f .7 /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ../47 . / 9F 3 ? Oaf,
BASEMENT Y ES DETAILS OR REMARKS: e+
p NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict actor• .nce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor ermlt can / be issue..
OWNER: CONTRACTOR SIGNED A , 1 fe A
OK'D BY �.� I
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