HomeMy WebLinkAboutBP 1978-01289 New Single Family FEE SCHEDULE Permit No. I.ACi
CITY BLDGI. 30 "' CITY OF OAK PARK HEIGHTS Plan No. ,
(For Dept.use only)
STATE SURCHARGE _ y
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EXTERNA{, PLBG.� . APPLICATION FOR PERMIT /G -a-cf-1)
METRO S.A.C. _—$
UTILITY CONNECTION ?ICI0•00 Date /� 5 19-7.7
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TOTAL AMOUNT DUE 1 •0�
S RUCTURE USED AS
HANG
REFRG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE M� WRECK SIGN
SOBA RES > t 1 n n 7 7 -- U C
Owner 777/4-/N1 1 �A //7 r, 777-
Address
Architect Address
General Contractor 5..)4, EiZ 09i-,7✓.1-/c- Address fo 91 O '4411
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
I 4 d W,4 G cit /z,0
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT /Q O / 3 / 30
WIDTH LENTH I HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION I ESTIMATED VALUE
STRUCTURE L7/D / ?i / . i `—mac 2/` aO✓ ----
DETAILS OR REMARKS: ,
BASEMENT 'ES
0 NO
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Thorel••r lose:h e ma es Par ion is a e it to do Building Work as herein specified,befor
rasing n e all wor
strict accordance with
all ordinances of the City of Oak Par eights.Contractors must register with the village befor permit can be issued �J /(//
OWNER/CONTRACTOR SIGNS
OK'D BY