HomeMy WebLinkAboutOT 1978-1455 Window Replacement FEE SCHEDULE Permit No. --
CITY BLDG.. , ��� — CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE , (For Dept.use only)
BLDG. PERMIT a I,
CITY UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.G. n
UTILITY CONNECTION DS5e /.-°A}p^ 4, /� 192 L
TOTAL AMOUNT DUE �3�/ _`i'� L( 0 .it7tL—
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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SQUARES
BY X
Owner ^"'^ -�^+- Address 14,r6.6 b 7''k
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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
0 YES DETAILS OR REMARKS: j„.rdze4.2 Q,,,,�„ cj�✓,, ,a
BASEMENT L
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 before permit can be\issued. (�
OWNER/CONTRACTOR SIGNED a
415444 (I/7/7o OK'D BY k 5 d ��_