HomeMy WebLinkAboutBP 1976-1074 Remodel Permit No. IQ��
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
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VILLAGE BLDG. .
STATE SURCHARGE ,S-C.) (For Dept.use only)
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT /X� //re}� 4ic
METRO S.A.C. Dat- (/ / v
UTILITY CONNECTION ,��
TOTAL AMOUNT DUE STRUC'TU7g SED AS
HANG
REFRG. ALTER R PAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL I
SQUARES 1 I 1 1 1 1 I Fl
BY X /Q
de!' � Address l�J `'��' "o`"f�'7-
Owne
Architect Address
General Contractor
Address
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
'33°1 pa.A......,.
Grp - ) zt
ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
I
WIDTH i LENGTH 1 HEIGHT NO.OF STORIES TYPE OF CONSTRUC TION ESTIMATED ATED VALUE O
STRUCTURE 1/
DETAILS OR REMARKS: /L o eee
BASEMENT 0 YES
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreein�doba all
ls ,or in strict accordance with
°L. .
all ordinances of the Village of Ook Park Heights. Contractors must register with the villa• 1 ' /f"- ` _
OWNER/CONTRACTOR SIGNED
OK'D BY