HomeMy WebLinkAboutBP 1981-1921 Remodel E. Wing n
9 �,(2.J L / �3 Permit No.
F' Plan No.
FEE SCHEDULE /J/, CITY OF OAK PARK HEIGHTS (For Dept.use only)_,Z-7.2-7-71
J �/
CITY BLDG.
STATE SURCHARGE / �j O'
BLDG. PERMIT /Q
CITY UTILITY PLBG. APPLICATION FOR PERMIT
cxT�RNAI Date / 2
/METRO S.A.C.
UTILITY CONNECTION � � / 1
STRUCTURE USEr
TOTAL AMOUNT DUE
REFRG ALTER REPAIR REROOF RESIDE MOVE W�CI BUILD PLUMB. HEAT INSTALL El cN 0 a
MARK
SQUARES 0 a a j
BY X
i
Address
Owner _ —- - — Address
Architect - ' Address
General C:oni:. ',Qr
Contractor Reg. No.
SIDE BETWEEN WHAT CROSS STREETS
NUMBER STREET
/ ■
a d A (O K , / J ADDITION OR TRACT
COT BLOCK
FRONT BUILDING LINE
WIDTH
DEPTH SIDE LOT CLEARANCE
LOT TYPE OF CONSTRUCTION ^ ESTIMATED VAL IIIIIIIIIIIIIIIIIIIII LENGTH HEIGHT NO.OF STORIES _
WIDTH �d S CI-�
STRUCTURE
DETAILS OR REMARKS:
❑ YES
EMENT ❑ NO
lned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accok
r it can to
d iall work
/
of the City of Oak Park Heights.Contractors must register with the village before p . --��
OWNER/CONTRACTOR SIGNED /
OK' BY _ _