HomeMy WebLinkAboutPL 1977-1237 Remodel FEE SCHEDULE Permit No. Y )O
CITY BLDG. 11.00 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE iS?0 �� (For Dept.use only)
BLDG. PERMIT VI.``iiyyv
CITY UTILITY
EXTERNAL PLOG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION �l[l
D ^ ' . k O 19T1
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD P HEAT INSTALL _ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUA BY XES l I (�1 1 11
Owner k) W\ Address 8-1°CIL0 P a_ C
Architect Address
General Contractor
Lit Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
C- L cljZAjjaki9A, r kJ
LOT BL ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT f
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
O YES DETAILS OR REMARKS:
C ..0
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordan a with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit be issued.
OWNER;CONTRACTOR SIGNED
OK'D BY