HomeMy WebLinkAboutBP 1974-761 New Single Family FEE SCHEDULE Permit No. 1 lc. I
VILLAGE BLDG. -7.. VILLAGE OF OAK PARK HEIGHTS Plan No.
60 70 (For Dept. use only)
STATE SURCHARGE J,f
BLDG. PERMIT %4641
VILLAGE UTILITY ��/ ••• .
EXTERNAL PLBG. e� RI APPLICATION FOR PERMIT
METRO S.A.C. 2C' D
UTILITY CONNECTION Date 'e --Zr
19,2)(
TOTAL AMOUNT DUE ,C�tJ41 e 1Z C—
S
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HE - INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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SQUARES I1
BY X l
Owner pA t/fp fn✓LSOA) Address
Architect ` � �S� ����� �``Address
General Contractor i -M-Cr6L P .> Address ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
Sc q 3 d ' R/61) ,V6 , Ai, 4 - 5-
LOT BLOCK ADDITION OR TRACT
3 / 5(JJJ4 G<`iC. 04.0S-- 2-1/2-- ,ri.r".",
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT /5 0 t-.
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE C /' r '1 C, ter, T 7V fn Y / gj /%4 „ .g b-*-0
YES 3^ gl) DETAILS OR REMARKS:
BASEMENT NO
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 Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY