HomeMy WebLinkAboutBP 1978-1433 New Single Family 1 C,(jj j
Permit Mo. T '�J
FEE SCHEDULE Plan N
CITY BLDG. 3C9- id CITY OF OAK PARK HEIGHTS (For Dept. use only)
STATE SURCHARGE {.j//.
BLDG. PERMIT (�f � ' ""
CITY UTILITY _l
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EXTERNA PLBG. i,rJ`� APPLICATION FOR PERMIT
METRO S.A.C. T rl�� 7
UTILITY CONNECTION Soo- Dote g/f
TOTAL AMOUNT DUE 2 a°. ( ° 3
STRUCTURE USED AS
HANG
BUILD PLUMB. HEAT INS
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK B�UI^I 1 TA LL C
_
SQUARES I y I TI I I I
B V X I / \ I ll I ,q a/
Owner
c5; J' ,/ a- Address /r 8/c7 !t VFs -rr -f IYz/
Architect Address
General Contractor
( 5 — o./AO G'L Address t/7Y-C ''r1'}"'t/c■Of
Contractor Reg. No. 1
NUMBER _/ STREET SIDE BETWEEN WHAT CROSS STREETS
6 -3 .r& X ,�; _ Ci /t.— c. t� c= 5---
LOT BLOCK ADDITION
�1��1 ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
/�
LOT I , f —/F ,:-/ r
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE 'f �Q / y I / / ".9a.,+< Y raJ
0
BASEMENT YES
r 3.20.0.-- - DETAILS OR REMARKS:
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, a ing to do all work in strict accord e with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before it can be issued.
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OWNER /CONTRACTOR SIGNED � A �UJ
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OK'D BY -