HomeMy WebLinkAboutBP 1977-1279 Wood-burning Stove Chimney n,
FEE SCHEDULE Permit No. 1 77
CITY BLDG.. � _ O CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT �J
CITY UTILITY
EXTERNAL PLBG• APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG . HANG
MARK BUIL PLUMB. HEAT ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
X GN
SQUARES ES n n n n C C
Owner Address k 446 1 •
Architect Address
.Genered- Contractor Address
Contractor Reg. No.
NUMBER , w STREET SIDE BETWEEN WHAT CROSS STREETS
440 1{ SS
LOT BLOaK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE l0 00 O l 9
BASEMENT 0 YES DETAILS OR REMARKS:
0 NO l
713170 �1 l�M .l.nI1.'i� / /��"�i�T1'. �
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all wo k in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b� per It
OWNER/CONTRACTOR SIGNED
7L( �t �.
OK'D BY --A A i�