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FEE SCHEDULE
Permit No.
VILLAGE BLDG . !� VILLAGE OF OAK PARK HEIGHTS Plan No.
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( For Dept. use only)
STATE SURCHARGE
BLDG . PERMIT C
VILLAGE UTILITY
EXTERNAL PLBG . APPLICATION FOR PERMIT
METRO S .A .C .
UTILITY CONNECTION Date / 191,---]
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE W - EGK SIGN
SQUARES
BY X • l 1
Owner �,..'�- �: -. `�- Addresl
Architect Address r
n er c i Contractor Q--�-t. d d re s s �-- C � tt.i
Contractor Reg . No. \.
NUMBER STREETSIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE 1 FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORI ES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
YEs DETAILS OR REMARKS :
C3 NO 4C) 1tri)
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 -
O K' D BY