HomeMy WebLinkAboutBP 1979-1505 New Single Family Dwelling `-ql' rY Permit No. /S ? S
FEE SCHEDULE C��
CITY BLDG.. /.34,r)d CITY OF OAK PARK HEIGHTS Plan No.
`' (For Dept. use only)
STATE SURCHARGE ./In, / d
BLDG. PERMIT ,/r 4.3
CITY UTILITY y
BXTERNA` PLBG. /( , M O APPLICATION FOR PERMIT ..- • '7'
METRO S.A.C. 1 20
UTILITY CONNECTION g3oa .0o ate / F 19Z/
T OTAL AMOUNT DUE / 1/°,13 5 RUI.I E USED 5 AS
U HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PLUMB. HEAT INSTALL I I I I r-"� I ,
MARK I I U
SQUARES N• 7 B Y �e� • 2. Address
,..••••••' Owner 0 u el)
Architect � Address � �l
_ .
/"�`0"�� Add ress �� ���C , T /JV` �"G
General Contractor No. µ,/ •. yam- g4
Contractor Reg. No. / v SS// 9
NUMBER STREET SIDE BETWEEN WHAT CROSS STRE TS
rA A —LZ , 7 ,/f/.E. _L Eae.e si e745 7,U
LOT BLOCK ADDITION OR TRACT
IS - Ili S 64 k (PAZ. k f4 f t
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 1 / I J(J I 1 d 1 a
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
/ 5 4on 2 ac3,� -o
W DETAILS OR REMARKS:
BASEMENT �P YES
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein speci ' ..reefing to do/ work in stti• accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b per can . • issued
OWNER/CONTRACTOR SIGNED