HomeMy WebLinkAboutBP 1979-1616 New Single Family FEE SCHEDULE (... Permit No.
CITY BLDG. /33, e-a. CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 4.4'4
BLDG. PERMIT /
CITY UTILITY s 7:L )
METRO S.A.C. PLBG. /4•'� APPUUCATHOli FOR PERMIT
UTILITY CONNECTION /•'.l .5'7411:'
V� Date q /iii 197,
TOTAL AMOUNT DUE 9
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES S — J I 1 I 1 n _ I7 I 1 L
BY X
Owner ( ..‘o `
-e-ki V 4 ki s0 47 _ Address /l/ / /3 oz .2-3a 3 / /
Architect -�- / Address �// „DLO /
General Contractor ('-Lt/1 ';r�G, "1, A., Address � 7• ( 60,r \ T /�++ -ctT j
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5 ( 7 S - S ( Lia.sac .
LOT BLOCK ADDITION OR TRACT
44-03 8j4, 'IA:)17 d qd .
WIDTH DEPTH SIDE L T CLEARANCE FRONT BUILDING LINE
LOT g 0 / 4 // I /0 2 0
WIDTH LENGTH
/�
E HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
(� /
STRUCTURE 6 / G / Cl P O/O IAI 3 AO, a c . -
/
BASEMENT
0 YES ( DETAILS OR REMARKS:
rJ O
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 per 't can be i ed.
OWNER /CONTRACTOR SIGNED �U
o i i - 1
OK'D BYE, jl c��- oaz...J