HomeMy WebLinkAboutSI 1976-1140 Reader Board -40sf. Illuminated •
FEE SCHEDULE
Permit No. `
CITY BLDG,. CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT /0
CITY UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date /' 196
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ^ I _
BY X L
•
/1 o 9' !ti/ O S>.
Owner �/� Address 6
Architect Address
General ContractorSvB&e.BA.v 2,'bib-TA/6. ///c. Address .o77
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ ¢‘c' /Y o ' 7`= 4"
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 /O ' 41- hA R�,�
YES DETAILS OR REMARKS:
0 BASEMENT j
0 NO /E'vPcaS,riz:? . , M /_S .tr' ie i saG/e .670
Thawit,40 hs,rey a es ap licatiffor a pe it to do Building WorkAs 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_e