HomeMy WebLinkAboutOT 1978-1387 Re-Roof FEE SCHEDULE Permit No.
CITY BLDG. . ?_ "4" CITY OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE 2
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BLDG. PERMIT
CITY UTILITY
EXTERNAIs PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 45— 197L Jp.
,
TOTAL AMOUNT DUE —��
STRUCTUR SED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG N
SQUARES 'Ir/r'C'II lr lJ
BY X -
Owner / R ����� Address "SO c/ le� o 3`4Lh,
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/5-0 7,7i Litt 3 4S7
T OT OCK ADDITION OR TRACT
1-zz-2.3 7
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT {EO •�_ !/ ��Iw
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
OK'D BY_