HomeMy WebLinkAboutBP 1979-1541 New Single Family es 1/e Permit N. j
FEE SCHEDULE CITY OF OAK PARK Plan No.
CITY BLDG. Dept. use only)
STATE SURCHARGE / / s.c.10
BLDG. PERMIT � /�
CITY UTILITY / 1122 0
EXTERNAL PLBG. /d nQ APPLICATION FOR PERMIT f��[/
METRO S.A.C. <j/� / ' (� 7 �j
UTILITY CONNECTION t∎ YOOrr(PO Date I I
TOTAL AMOUNT DUE // 3
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL �---
SCU XES I x1 -- I H H 1 I I H I 11 I` I -. -
`� �''� A 73
Owner
Architect Address
i
General Contractor Address
Contractor Reg. No.
P Y orP rr '439 - 78,0
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT I BLOCK OR TRACT
LOT I BLOCK #
D EPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH 7. LOT 7144/ 1 30 r 7
T d4
/o — v
NO. OF STORIES 1 TYPE OF CONSTRUCTION ESTIMATED VALUE
WIDTH
,-nc Z g OOa
STRUCTURE 2 � �� ��
DETAILS OR REMARKS:
BASEMENT 0 YES
0
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordancee with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befo permit ca� ssu 9 U"r /�„�/ /µ.w
OWNER /CONTRACTOR SIGNED
OK'D BY _