HomeMy WebLinkAboutBP 1977-1222 New Single Family n /."'.
FEE SCHEDULE Permit No. 1 a°l
CITY BLDG. 13 c' CITY OF OAK PARK HEIGHTS Plan No.
y (For Dept. use only)
STATE SURCHARGE , i
a
BLDG. PERMIT /I7'�
CITY UTILITY
FXTFRNA6 PLBG. JC APPLICATION FOR PERMIT -i/i
METRO S.A.C. a_{s
UTILITY CONNECTION "2:1-E-
Date --16 19 22
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
A X BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MRK
SQUARES ` I 7 I ^ —^ I �r ^ Fl
Owner
7.4 , Z v� �3 �/ Address
Architect Address
General Contractor c °‘/ 11-6.6-4 -' a-- ' 7 s -- Address ✓ r9 / 69 ofrr A-
Contractor Reg. No.
NUMBER OS
�'" _STREET SIDE BETWEEN WHAT CROSS STREETS
/ V3 ki �` No "— O •41 �.4-41
LOT BLOCK ADDITION OR TRRAC
Jam` `TT /��
/ Q / o/ Wfj'6 G 4d ,z_ I (� _O / z 0,k)
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT fa /j �� Y 30
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2v I7 ,/ v / / -,,,w7 G Plow
GI/`s DETAILS OR REMARKS:
BASEMENT U
The undersigned by ifiake's -pp at on f" or elp r�miYto do Building Work as herein specifie agreeing to do all work in strict accordance with
all ordinances of the City of Oak P rk Heights. Contractors must register with the village b e permit ca be i ;
OWNER /CONTRACTOR SIG
/ OK'D BY