HomeMy WebLinkAboutPL 1978-1492 Addition - Basement Finish FEE SCHEDULE Permit No. —.
CITY BLDG. /_D._ CITY OF OAK PARK HEIGHTS Plan No.
..'" (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT /cr ' f''• ` / -'
CITY UTILITY
EXTERNAI. PLBG. '-- APPLICATION FOR PERMIT ' it AS -1 $
METRO S.A.C. '�
UTILITY CONNECTION Date /0 /O 7 192.
TOTAL AMOUNT DUE / ` J I DN✓t
c) 4.--";' f , .r— STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTE REPAIR REROOF RESIDE MOVE WRECK SI�iN
SQUARES I I �(
BY I '\ _ I I H Ilfl U 'f Li
Owner a eft) L` • J v Rg N N s Address / ii 96 Z/1 6 - 6
Architect Address
General Contractor Address
Contractor Reg. No.
N UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ �//
7 6� �/� i' CK I J
LOT BL ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE I ' D o D
rs DETAILS OR REMARKS:
BASEMENT
o N0 r / [s /4 0 Fr A Fe_2b-.4Tis,v AocAi
f . /-7- sAty - ' / A) Tif<< z5 vT
The undersigned hereby makes application for a permit to do Building Work as herein specifie , agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village be a permi f l an e is
OWNER/CONTRACTOR SIGNED ��/ (h
n• �� l
OK 'D BY