HomeMy WebLinkAboutSI 1977-1260 Sign - Allied Camera FEE SCHEDULE Permit No. 1 Loo
CITY BLDG. 10' 0 0 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE }� (For Dept. use only)
BLDG. PERMIT 10.00
CITY UTILITY
EXTERNAL PLEG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION -- t 19/
Date
TOTAL. AMOUNT DUE
STRUCTURE USED AS
REFRG
R
MAK
Q
BUILD PLUMB. HEAT INSTALL I ALTER REPAIR REROOF MOVE WRECK SIGN
SUB AYRES X � � nI
H 11 PAR `f fl pF RESIDE r] E `- ri
Owner ,I- 9,srnS Z76,) C t Address 6 6 nuoi414 ft L k) ,
Architect Address
General Contractor t AS.41C. -. SI(7VQS G, Address 145 P,r.4- (
Contractor Reg. No. 57. Pte , IM Ki t ,S g
NUMBER STREET SIDE
BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
' WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE /i z d 0
BASEMENT
0 YES m. D ETAILS OR REMARKS: l 5tpr t ` s saal � r
'� ,n ("sin G�U(/`1 -ct " �/F�I u.41\ KA 04Arr r u r u � � y
The undersigned hereby makes application for a permit to do Building r Work as rein specified, agreeing to do all in mo st strict accordance d .
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED �_� �� � !
OK'D B _ ,
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