HomeMy WebLinkAboutBP 1981-1919 Roof Repair . ,<. / / '
FEE SCHEDULE Permit No. / 7/7
CITY BLDG. -. CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE L,i,
BLDG. PERMITS "i
CITY UTILITY
EXTFRNAL PLBG• APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date f1 — `' 1 `; / 19iL
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK
BUILD f a X
IL 111 PLUMB. HEAT INSTALL ALTER � REPAIR REROOF RESIDE MOVE WRECK St
SQUARES I`/I rill C fll C
BY X —� ,\_ : • t
'
Owner -..--(,- .iv 'S 1 - s , Address (" -G :.'' % : ; ,
Architect (/} / Address
General ContractorZ i� c• A ° 0: , Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
I.
/.5 ; / I, - ..d-1. ) .
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE /7 7K c ---. , • D`7
DETAILS OR REMARKS:
0 YES —c� / S c I _
BASEMENT O NO
The undersigned hereby makes application for a permit to do Building Work as herein spe died, agreeing to do 411 work i st "ct,a • •rdance with
all ordinances of the City of Oak Park Heights. Contractors must register with the villageb -fore permit can be isisued.
OWNER /CONTRACTOR SIGNED < tee — — — I AA "
OK'D BY _