HomeMy WebLinkAboutBP 1978-1462 New Single Family Lit c.---)
FEE SCHEDULE Permit No. I L(
CITY BLDG.. /33• — CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE —LG.'
BLDG. PERMIT I4q.
CITY UTILITY ' WO 4Q /0 //- —I PLBG. [� - . APPLICATION FOR PERMIT
METRO S.A.C. �
UTILITY CONNECTION fC.�
81__ Date q Z 6 197 8
TOTAL AMOUNT DUE
911._ 40 3 ,/-i.
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR RE ROOF RESIDE MOVE WRECK SIGN
MARK x — 1 1 1 1 1 1 rl - I r _ I
SQUARES
�i /Address .� Pi -r._.4
Owner G
Architect Address
General Contractor ,g..'/ Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
,O 2. ig I .r; . C,zC c
LOT BLOCK ADDITION OR TRACT
`/ Y , -,e, /../--3' z
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT �". / .) I G _ !a /
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE V Si �.() / .y / f` %Z ff/!9C • 3 Z/ 4 coo
DETAILS OR REMARKS:
BASEMENT
O "ES
' I
The undersigned hereby makes application for a permit to do Building Work as herein specifi • •Ae.reeing to do all work in strict accordake wi ,•
all ordinances of the City of Oak Park Heights. Contractors must register with the village b��.r permit can ed. ; � /►
OWNER /CONTRACTOR SIGNS• — I I
9 '
•K'D BY _