HomeMy WebLinkAboutBP 1979-1524 Alteration n
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FEE SCHEDULE Perm No
CITY BLDG. CITY OF OAK PA" . IGHTS Plan No.
STATE SURCHARGE 5
(For Dept. use only)
BLDG. PERMIT SaL d
CITY UTILITY
EET PLBG. APPLICATION FOR PERMIT
METRO RO S.A.C. S.A
UTILITY CONNECTION /\) Date .r — a Z 19
TOTAL AMOUNT DUE e` -+�•`S`'
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL q�, REPAIR REROOF R MOVE WRECK SIGN
SQUARES n 7 I(x� L __ l.J a
BY X
Owner n O- --C.(.f - Address i 14 y 1 5) 57 54 . ) • S( ZL1. )cZN
Architect a v Address 71(frY1
General Contractor . Address
L Co ctor Reg. No.
-- r' 4 3 q -1.&I ( 1:0-0 R>
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 N ' I 5 rj No R 1
. LOT BLOCK ADDITION OR TRACT
I8) I t3 A 1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 90 ( 1 ki i
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 10 so / W d 6 D Q3 8 o b
BASEMENT
' YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village bef re permit cap be issu
OWNER /CONTRACTOR SIGNED !rPf/LQ�✓l.d
OK'D BY