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HomeMy WebLinkAboutBP 1979-1537 New Single Family FEE SCHEDULE Pk Permit No./ 5'3 CITY BLDG. / ? 2 3,O CITY OF OAK PARK HEIG Plan No. G (For Dept. use only) STATE SURCHARGE / H BLDG. PERMIT .Y.10.143 CITY UTILITY EXTERNAI. PLBG. 445:4'0 —...e APPLICA1101r FOR PERMIT METRO S.A.C. _ ,[7� UTILITY CONNECTION Dote -3 2 3 19 TOTAL AMOUNT DUE 3`P / , 1� g G S / STRUCTURE USED AS RE FRG HANG BUILD HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN SO MARK PLUMB. H INS I I -• ERO �r SID 11 ^I SI eY X N n n l Owner IA n r AS ,/ 17)4 RT/ i✓ Address Architect Address General Contractor S&1 k G. c I2 & 41 Address ..E 3' 19 4 'r"" .."'''4- Contractor Reg. No. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS 1Lg3g, v- 1 / _ ii S.$74 A/D 004/Vat. SS ?^ 1 O ARK LOT BLOCK ADDITION OR TRACT I y 1 5 B A F KKc .i/E ice-, T —I2 "2... WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT / /'1 / 0 /0 WIDTH 5 LENGTH H E,GHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE A. 0 ! it C 4ITR l /Qlt at t 3 o 0 O A.4 4 /(O DETAILS OR REMARKS: BASEMENT YES 0 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 54 . 1 . 'e fi t ; OK'D BY / — � � ,