HomeMy WebLinkAboutBP 1977-1182 New Single Family P\
FEE SCHEDULE Permit No. _ 1\ SA-
CITY BLDGi. CC^ CI TY OF OAK PARK HEIGHTS Pl an No.
S�/ (For Dept. use only)
STATE SURCHARGE •Z
BLDG. PERMIT _,(
CITY UTILITY
METRO PLBG.
METRO S.A.C. S.A {S//SSII APPLICATION FOR PERMIT UTILITY CONNECTION 4 . 'c Date zy Z 3 19 77
TOTAL AMOUNT DUE 1' 1 / i-9
STRUCTURE USED AS
REFRG HANG
BY RZ
BUILD PLUMB. HEAT I �
INSTALL L ' ALTER REPAIR RE ROOF RESIDE MOVE �
WRECK SIGN
MA SQUARES V ' ^I I Il ^I
Owner
-, P 'Q a �' (/✓iZV ✓' -1j'� Address `�V R f .,i11 /9 "4
Architect c Address
General Contractor c t T 6 .--v �� Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ /)4/
OCK s Z e .s/ �-- --- ✓�
LOT ADDITION OR TRACT
Iv 7/ cw' Ex.
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
r
LOT � / j / f Q r r. 3 O
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE .7 / V-1 / / �3? -� F j� gyp, w—
ice u�y"ficds- 3 `e0e' DETAILS OR REMARKS:
BASEMENT YES p 4gs et y 0 c� 0X4' 'y` CA d
0 NO 4.4.c ! f F t _rtit s -f .5 1( dati
a . ^ti_, l 3— r yZ7
/ e ., l ap _ ofo s m
The unders t
iy d h�l�y makes ap Ication fo ermifto do Building Work as herein specifie agreeing to do all work in strict accordance ith
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef e permit can be��lf. p„
OWNER; CONTRACTOR SIGNE
OK'D BY —