HomeMy WebLinkAboutBP 1979-1667 New Single Family P.'"\ n
FEE SCHEDULE /6 Permit No.
/‘.6
CITY BLDG.. /33.o -O CITY OF OAK PA' ' G Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT /42"
CITY UTILITY S'SrOt
EXTERNAL PLBG. , /C. SO
METRO S.A.C. 4/;S ".a' - APPLICATION FOR PERMIT
UTILITY CONNECTION 3 „pr.) Date_ / 197
TOTAL AMOUNT DUE 95(S'4'v /•r n —
STRUCTURE USED AS
REFRG . HANG
BY X BUILD PLUMB. HEAT INSTALL �• ALTER REPAIR RE�OOF RESIDE MOVE WRECK SIGN
SQUARES F�'rT(`JII pi U ri C ri LJfl C •
Owner W A- 6 C l2 - ! - Address
Architect Address
General Contractor s' (ii ,4 r a BR as hti( Address S$ 9 $ v /714 Moe
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/' -i $iS S 6 ” 5 T 4/ oS6o0.0 4' G)z•?RK
LOT BLOCK ADDITION OR TRACT
7 J $ Rc71/PC F /7'rs 11D40 '''' Z
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT V 0 l S I Q AO 3d
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / J L/ 2 / 2- / F� /Iim � � L �� e ,,
BASEMENT O YES 7 DETAILS OR REMARKS:
R 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 5i4d - .C? O� ( L'an ).lic . L 5 1 7 - .'a
OK'D BY _ O
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