HomeMy WebLinkAboutBP 1981-1881 Remodel0�"' 4 SCHEDULE y �� /9.es
CITY STATE BLDG.. 347./ dU CITY {OF OAK PARK HEIGHTS
SURCHARGE ¢� ��
BLDG PERMIT
Permit No. Jam_
Plan No.
(For Dept, u only)
CITY UTILITY
EXTERNAL BG.
METRO APPLICATION FOR PERMIT
S.A.C. S.A
UTILITY CONNECTION Date 7--2-1 Ig k1
TOTAL AMOUNT DUE ��,I ")v e_��. �_i. _•
I I STRUCTURE USED AS
REFRG HANG
MARK BUILD PL HE INSTaL ❑ ALTER LSJ " RE RERaOOF IV MOVE WRECK al�
SQUARES RES �%I
BY X �J��,� T �j � /
Owner / 'r c A "� - /� ,4 H -ots 3c� sT ftnvy el N. lv:d Zi? /4e
Address
Architect —'rj Address
General Contractor Address
Contractor Reg. No.
NUMBER
ST(R'E,E(
SIDE
BETWEEN WHAT CROSS STREET
/
/T
LOT
BLOCK
ADDITION OR TRACT
WIDTH
SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
gDEPTH
!/LENGTH
WIDTH
HEIGHT
NOOFSTORIES
TYPE OF CONSTRUCTION EST I MATED VALUE
STRUCTURE
Q `
/_D r
/ t/ '
�• /�
]� �,y��
BASEMENT Cl YES
*'NO
DETAILS OR REMARKS:
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance vii th P,-
all ordinances of the City of Oak Park Heights. Contractors must register with the village before permit can be issued..
OWNER /CONTRACTOR SIGNE�Y� / /vr"S�'�` yeeZ�.ku�J
OK'D BY _