HomeMy WebLinkAboutBP 1977-1278 Walk In Cooler Addition FEE SCHEDULE Permit No. 1 X "
CITY BLDG. q �- Plan N
CITY OF OAK PARK HEIGHTS (For Dept. uu only)
STATE SURCHARGE ` S �
BLDG. PERMIT f �
CITY UTILITY
EXTERNAL PLBG• APPLICATION FOR PERMIT `�
METRO S.A.C. D e 1 (� �` t9! 1
UTILITY CONNECTION
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
... REFRG ALTER REPAIR REROOF RESIDE M 'NaK SIGN
MARK BUILD PLUMB. HEAT INSTALL __ ESID s
SQUARES —^ __
BY X ._-• — -- `._
Owner
014-- �G - Address . 5 Q Z / N ( Di "
Architect Address
General Contractor " ""✓ 1 Address 57 f 0 7
-V-1/`K 4 - '
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT 1 BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
o f act
STRUCTURE ate
DETAILS OR REMARKS: ^
BASEMENT YES y , ���yp,� ,)� j� ��� p I /� / �i )_ Q�j�� C _�,-j ,
CI NO T e
/ `'• ': - ":: " ereb me ap Iica nJ per to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of a k Park Heights. Contractors must register with the village before pe n can
OWNER /CONTRACTOR SIGNED &
OK'D BY
•