HomeMy WebLinkAboutME 1973-617 Heating FEE SCHEDULE Permit No. 6 /7
VILLAGE BLDG. feeT'a a (9 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT 7.7-o
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. J „
UTILITY CONNECTION Date 3 7 19/i
TOTAL AMOUNT DUE
// STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT
INSTALL. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner Address
/-G l� / ‘3re ,'
'fLJ GAJ
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
456 Ltritat,t, 649
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION STIMATED VALUE
STRUCTURE ;7;C-17 0-t.?
BASEMENT
0 YES DETAILS OR REMARKS: 1a,5 Ocjc g7 )
❑ NO
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
OK'D BY