HomeMy WebLinkAboutBP 1981-1921 Remodel E. Wing (2) igzc�L FEE 7_6lE a,.UD Permit No.
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
CITY BLDG. YQ'.D/�C,/ (For Dept.use only)
STATE SURCHARGE 2.:L_��/�
BLDG. PERMIT
CITY UTILITY
vxrERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date // 3 e�1 19_111
UTILITY CONNECTION
TOTAL AMOUNT DUE 41/4661/ STRUCTURE USED AS
HANG
REFRG. 7IIflHE IT PAR REROOF RESIDE MOVE IRE K
MARK BUILD PLUMB. HIEATI INSTALL 1 SOBYRX S I I Ii lJ n n I —
Owner Si C.. Age", A7 eI rig AtViv T Address
Architect Address
General Contractor /c if X lA42C 1 Spec. , Address L'7?/rr So ( e'. —C ?f
Contractor Reg. No.
NUMBER STREET SIDE l BETWEEN WHAT CROSS STREETS
I I
ADDITION OR TRACT
LOT
I BLOCK I
WIDTH DEPTH SIDE LOT CLEARANC E FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I
BASEMENT O YES
0 NO e6.411JQ46 al its'7-1!✓/N6- ,,,,ciCL • A74/4er
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 p iti ed
OWNER/CONTRACTOR SIGNED �/ C
OK'D BY_
I