HomeMy WebLinkAboutBP 1978-1489 New Single Family /'\
FEE SCHEDULE Permit No. i VO
CITY BLDG. /3y.— CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /7 (For Dept. use only)
BLDG. PERMIT /S b•
Z
CITY UTILITY m • b
CXTERNA4, PLBG. i�ce/C•�_ APPLICATION FOR PERMIT
METRO S.A.C. �21LJ
UTILITY CONNECTION (/ ' A fji/Ep jI /Le GS Date JrJJr/e/ 197
TOTAL AMOUNT DUE R ' .r• b1 ,yZ� ^ ! ` / vJ' /4
� � STRUCTURE USED AS
G�
REFRG HANG
MARK
BUILD � PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES - I 1 n n_ n u u
BY X l
Owner /2/.'f 4 t-s?L — Address
Architect Address
General Contractor ,3e–s-" Address j 6
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
j• 7 D z¢A-l<'
LOT BLOCK ADDITION OR TRACT
a_ G e0ELt �61{– y'b Z
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
90 �; 2a'`'vc f 3 0 /
WIDTH LENGTH I HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE - 2-- ' f Y / y / ,/ t 4 sa ri 7" IM ; c
r , ,,�� DETAILS OR REMARKS:
BASEMENT ) 2 .. .
J
T he undersiyned hereby makes application for a permit to do Building Work as herein specified, Being to do all work in strict a co nce with
all ordinances of the City of Oak Park Heights. Contractors must register with the village befor• ermit can be i - ed.
OWNER 'CONTRACTOR SIGNE• ./ ' ''4.,-i C4?..--
K'D BY