HomeMy WebLinkAboutBP 1979-1618 Bedroom Addition FEE SCHEDULE I Permit No. //‘./k
6Y_ CIT a OAK 'ARK HEIGHTS Plan No.
CITY BLDG. _ (For Dept.use only)
STATE SURCHARGE �.•�Q
BLDG. PERMIT /7o $O
CITY UTILITY Q/c.
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / 19. 2
TOTAL AMOUNT DUE 4./-'-" ' ,
SdUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE M W�K SIGN
MARK I^I Il^I Ir"')I
SQUARES ® n n n
BY X
Owner K-'-`--e- k_) Address
Architect. Address
General Contractor ( d • Address
Contractor Reg. No.
q3S 537
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 /,,TI'i O"J -t
DETAILS OR REMARKS:
BASEMENT ❑ YES
❑ NO
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 befog it cayq be issued. �� �
OWNER/CONTRACTOR SIGNED �7.1—G./-�
OK'D BY