HomeMy WebLinkAboutME 1975-03-26 New Single Family FEE SCHEDULE Permit No. _ A `O
VILLAGE BLDG. �2) VILLAGE OF OAK PARK HEIGHTS Plan No.
, (For Dept. use only)
STATE SURCHARGE I
BLDG. PERMIT p4
S f _
VILLAGE UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �(/�
UTILITY CONNECTION Date 2 " - 197S'
i'
TOTAL AMOUNT DUE _ 7, / •/' % ,
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT
INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES U
BY X
1
Owner "O-P.� AddressC Q f G ,e5/1„
rchitect 7 Address ,/
"~"'f:"' Contractor c� / �' izie.,t Address / �!_._ /� .
i /
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
X01- 0)/&<: //t)
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
7'.11.) DET ILS OR REMARKS: % &e, 6).—/Y--- lid V
BASEMENT0 NO // /i i �p/ O O p
/" / # . c
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreein.fdo all work in strict acco once with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befor r.. 20.1.e.3 issued.
^WNER/CONTRACTOR SIGNED r'. � i
OK'D BY �� �pDr