HomeMy WebLinkAboutPL 1979-1599 Remodel Permit No. /.5 /
FEE SCHEDULE
CITY BLDG.. /-7—.i1-8 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE (S % 7-° BLDG. PERMIT
CITY UTILITY 7�
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. O ) / f1/6'1-'/"e"'- Date 7 `� 19
UTILITY CONNECTION 1 /c
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
RE FRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PLUM HEAT INSTALL
MARK I SQUARES n 1 n I Li 11:1
Owner
µV`. &`pwp,ti” --iUb /kVIG Address Imo' ' IJ 6D71 . --(
Architect Address
General Contractor )1=-6.---449.-r----4244", Address
Contractor Reg. No. 77 Pi t t� / r --* 7 D f
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NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
JS 2 / (c 4 , jie .
LOT BLOCK I
ADDITION OR TRACT
FRONT BUILDING LINE
WIDTH DEPTH SIDE LOT CLEARANCE
LOT
, WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I , D p'e... , ,,, k. S 3
0 YES
BASEMENT
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work
ki ct
in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit ca / '
OWNER/CONTRACTOR SIGNED
OK'D BY