HomeMy WebLinkAboutBP 1986-2521 New Duplex (15053 & 15055) FEE SCHEDULE L6 / Permit No. c5.--C)2
'13a- CITY OF OAK ARK HEIGHTS Plan No.
CITY BLDG, y � 439-4439 (For Dept.nee only)
STATE SURCHARGE .3/..S 0
PLAN CHECK .7 7 n? V 1/
CITY UTILITY 43 V
EXTERNAL PLBG. 3z,cv APPLICATION FOR PERMIT s,,.�..►-f v
METRO S.A.C. Tye.dT! 4-04.---P-6-
UTILITY CONNECTION 6OV,JV Date 19d`(-
TOTAL AMOUNT DUES� /7• S /I V c..-vox,
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQBVXESQ ._ nnn _ _ _ o U
Owner w) r_ ' Olen, ' J pv J Address
Architect Address
General Contractor Al "‘ _�- rti 4 Address G' 9 Z i4i4•C D.^--
Contractor Reg. No. ��
** NO CONSTBIICTTCN TO STA T PRIER TO 7:00 AJ **
/ NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/s-0.53r ti 61 SO
LOT / BLOCK ADDITION OR TRACT
f
I
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 9 a
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 3 ../ v (O 3, d40 i—
BASEMENT ES
DETAILS OR REMARKS:
(�'C
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,a ing to do all work in strict accordance with.,
all ordinances of the City of Oak Park Heights.Contractors must register with the village bef can e' e it
N
OWNER/CONTRACTOR SIGNS%
OK'D BY_ !!!///