HomeMy WebLinkAboutBP 1977-1199 New Single Family •
FEE SCHEDULE Permit No. 1`c4
CITY BLDG,. 64.1 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 9: /C
(For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. ,/j APPLICATION FOR PERMIT
METRO O S.A.C. S.A ?_
UTILITY CONNECTION D ate --.4...-1-.1-/---
1/ ^ 19 ��
/
TOTAL AMOUNT DUE f//
„i� Z STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ; I I — J _— _— a
BY X `
Owner 1n /) " /' �N 6r. Address / v3 ' 'e r re--C-14 w " 4.-4
Architect Address
General Contractor C 14-fe r� .- Address ,i 9 f 0''41#k4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ /J /7 , Y .6" Jr -
LOT OCK ADDITION OR TRACT b
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT ii r/ L
/ O / '_. ? 7.a /
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
'y
STRUCTURE („ L� 7 / Z/ / � Jc --- 74q J
0 Y 5 DETAILS OR REMARKS: P �6 ) )4 ; I
BASEMENT V }, l
♦ if 77
The und- i ne• he'- •y m es aion for a permit to do Building Work as herein specifi , agreeing to do all work in strict accordance with
all ordinances of the City of Oa Park Heights. Contractors must register with the village b re permit a issued.
OWNER %CONTRACTOR SIGNF .. ti
OK'D BY