HomeMy WebLinkAboutBP 1977-1200 SAC Charges for Addition Permit No. i°aCt0
FEE SCHEDULE Plant N
CITY BLDG, jE! '°�,pOQ CITY OF OAK PARK HEIGHTS
(For Dept.use only)
STATE SURCHARGE 9 /t
BLDG. PERMIT 63
CITY UTILITY
METE NAIL PL BG. APPLICATION FOR PERMIT
a. METRO O S.A.C. 7.57›, APPLICATION 3 �F �4"/UTILITY CONNECTION p rn
VAS, - y� r�'�"
TOTAL AMOUNT DUE I
STRUCTURE USED AS
6IO/77 HANG
^
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK S
MARK BTU I—LSD PLUMB. EAT INSTALL IGN
SQUARES IV'I — _
�
B Y X
Owner 0+4-1<- , or bc5v. C — Address
Architect Address
General Contractor 5A/4-16e70 An-ps --rte : Address is 9 9 O M'4'Y"-
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK
i ADDITION OR TRACT
LOT
T BUILDING LINE RON
WIDTH DEPTH SIDE LOT CLEARANCE FRONT
LOT
WIDTH LENGTH HEIGHT INO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE /21 ` V r 1 Jd c(7 o/t /Tie d d )
DETAILS OR REMARKS: I
0 BASEMENT YES / X !♦ �/ O �J V7 ?��'f
0 �b
The The u�d ere n k��i' 11cation f a er to do Building Work as herein specified, reeing to do all work in strict accordanc�with/�
all ordinances of the City of Oa Park Heights.Contractors must register with the village befo permit can=ed. 4 G (uGt41 i
OWNER/CONTRACTOR SIGN
O K'D BY