HomeMy WebLinkAboutME 1974-812 New Single Family FEE SCHEDULEi'
Permit No. U
VILLAGE BLDG. VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 47
C�' (For Dept. use only)
BLDG. PERMIT 072.06
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. / -7
UTILITY CONNECTION ate /� 2-- 19 7
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
7
BY X
Owner / �Zs� i r�--P_P-t�/G-r� Address / /'� 1–•
4ctrchiteAddress �,/
/�,I ! .
�1SContractor (%����`ni�2 Address 4 / ? � C,.1/� �fi�'
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
C4)2.A:a4t)
55-7
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
` YES DETAILS OR REMARKS: 7-7Z .P2- rz I
BASEMENT l]
NO if: " -i4/l 1/62cil A j=am ! _P. -
J 1J
0 -• o o l) Z l�lD G/ u c�
The undersigned hereby makes application for a permit to do Building Work as herein specified, agree' to do all workccordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village bei mi,tri7an be issued. 79.it_ '
OWNER/CONTRACTOR SIGNED '- �1/LiZZAil
OK'D BY 6���Id' if " j /4/4",r