HomeMy WebLinkAboutSI 1974-803 OPH State Bank Wall Signs FEE SCHEDULE Permit No. scg( �
VILLAGE BLDG. VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE L
BLDG. PERMIT
VILLAGE UTILITY /0 d O /
EXTERNAL PLBG, APPLICATION FOR PERMIT AA/is.
METRO S.A.C.
UTILITY CONNECTION
(2.,.)
to ) 719 �
TOTAL AMOUNT DUE
j d "' STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I 1 -- 17 2
BY X l
Owner 0R PAS 14'T5 S 7 - ,g Aids` Address sr C/40/)c /721¢64-
Architect Address
General Contractor G/9Lt,-4rlsv 3'/cp- 5 2:744" Address 9e-75'— ,//'i c-- g adef,'t7
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5% C.-A'r/x /If 2*---
, 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(P•9
Wnil/ /1 ..4.5 7-7 C.-- 300 cG/74
BASEMENT 0 YES DETAILS OR REMARKS: (2 ) 5/grSco Qlciva z
NO0 _ j'YId'tcTb'4 /STT .S' Com/'/ . IG'/1 ' ',kr
#/c-/a-QTS 5 7- 7TH 4/i v/ i�f 0
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in trict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befo a pFr. it can e� ue t
OWNER/CONTRACTOR SIGNED teAe��
OK'D BY