HomeMy WebLinkAboutBP 19754-12-19 New Single Family n
FEE SCHEDULE Permit No. 'ici2 1
VILLAGE BLDG.. 'A:3 VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE l3 7V
BLDG. PERMIT —41-_-...C/
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �/
UTILITY CONNECTION Date / 2/i % 19 / V
TOTAL AMOUNT DUE T� -�.
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES '-
BY X l
Owner !/ ',5".4,/ "S- A c.v c� e Address d v ���A�t!'"°�z�i "'
Architect �^ Address ,
General Contractor o? Gv/�6 677L-' ird,..,, i._,%_, ,, -/-7f‘Address - � � OM 4-44 /4-1.-/4-1.---A,a
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.5-6 di 0 I lo�/Z lEitJ • i
W .1'' V f= ,D.
LOT BLOCK p ADDITION OR TRACT
Cv
WIDTH DEPTH SIDE LOT CLEARANCE I FRONT BUILDING LINE
LOT /7 � / /0 '—/f 1I .3‹.I /
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 7Z/ O f y / //�Zf ill 02f 000 D`
4"1A 'e Vim. DETAILS OR REMARKS:
BASEMENT v YES
0 NO at, ,C 1.3.x'.
Clir4/1-AAAk /6"-;'d — (cf 7 L/
1l ((��
The undersigned hereby ma es applicatifor a pe it to do Building Work as herein specifie agreeing to do all work in strict accordance 'th
all ordinances of the Village of Oak Park eights. Contractors must register with the village Bore permit an be is ed.4 Rj
1WNER/CONTRACTOR SIGNE ' / t`1G
OK'D BY