HomeMy WebLinkAboutBP 1979-1543 Alteration FEE SCHEDULE l' �� �ieA
` ` "e.....i_.- Permit No. AS Y3
CITY BLDG.. 5;400 CITY OF OAK PARK HEI S Plan No.
STATE SURCHARGE Q/7�
/It r 6-;o0 (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date y — - WY
TOTAL AMOUNT DUE v‘i •00
STRUCTURE USED AS
REFRG HANG
M RX BUILD PLUMB. HEAT IN LTE REPAIR R RO F RESIDE MOVE W�1( a
SQUARES 7
Owner //ph�$Uicf 7 Address /y 3 '4'
Architect Address
General Contractor Address
Cont actor Reg. No
,.A_,i; -- c3 9 t 37'Y
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
77 we.- $ A'
LOT BLOCK ADDITION OR TRACT
Z Qo I 3i.d /941; hoe,
WIDTH � N DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 4 O v /3S
WIDTH LENGTH I HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ') Z SZ 46-49174„,0-
•
BASEMENT
YES DETAILS OR REMARKS:
The undersigned hereby makes application for a permit to do Building Work as herein specified, a. ' ng to • • all wor n riot acco ce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village be • - pr it ca •e issue
OWNER 'CONTRACTOR SIGNED +
OK'D BY