HomeMy WebLinkAboutBP 1981-1864 Addition •
FEE SCHEDULE Permit No. / 84 "." (
CITY BLDG.. .rnsjyyrD CITY OF OAK PARK HEIGHTS Plan No.
/
STATE SURCHARGE !i .S �J � (For Dept. use only)
BLDG. PERMIT .J...( t .5
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 19 '/
TOTAL AMOUNT DUE t .Ol
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. UMi . H EAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES C n I C C �
Owner ' — u-�-F� Address
Architect Address
General Contractor a Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1
LOT 74- ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / % U C ,
4g7=rffi 2 %: 1
BASEMENT
O YES DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict a• ordance with
all ordihances of the City of Oak Park Heights. Contractors must register with the village b permin bei Rd
OWNER /CONTRACTOR SIGN �:fY • G✓ �//
OK'D BY
•