HomeMy WebLinkAboutBP 1977-1219 Deck FEE SCHEDULE I Permit No. , 01 I
CITY BLDG.. S .,.i CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE __� _ 'p (For Dept. use only)
BLDG. PERMIT _,__
CITY UTILITY
MTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 6 -
1977
TOTAL AMOUNT DUE
D r`C1C.
STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT TALL ALTER REPAIR REROOF RESIDE MOVE WRECK K HANG
INS
SQ UA X n n n n n U ` I I - '�I
E El
Owner reitn C , lanS Address 14 eire,- Ai 644 � 5 . 1r N o.
Architect Address
General Contractor t►6nt/'t Address —
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/I/5 0 s'& n, st. Ai0 Atek 0 rh14R t- O,na /Y-et.
LOT BLOCK ADDITION OR TRACT
'�J
7 d (' (it;QC iS 3
rL
. P Add; ti 0 i 1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
/
STRUCTURE
0 YES DETAILS OR REMARKS C¢ 4'l�4iQ
BASEMENT /
n NO 7 7 �j
T e .ndersig • , - , r' : 1. a d I flgr e T I ilding Work as herein specified, agreeing to do all work in strict accordance with
all ordinanc- of the City of Oa Park eights. Contactors rfSust register with the village before permit ca e issued.
OWNER /CONTRACTOR SIGNED .7)14..., . n
OK'D BY �'