HomeMy WebLinkAboutBP 1973-00628 Garage Permit No. (g?2gg
FEE
VILLAGE BLDG. SCHEDULE
y,�e3 VILLAGE OF OAK PARK HEIGHTS Plan No.
�'�� - (For Dept.use only)
STATE SURCHARGE 9���
BLDG. PERMIT fK
VILLAGE UTILITY
EXTERNAL PLBG. • APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date -- 1- - 0 1i
TOTAL AMOUNT DUE fall_
STRUCTU j' USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ,jlf\�/` &ii
BY X t
Ownertei W Lh 'T'1J Address P
agre---d‘6,1"-e, Y.e.
Architect Address
££were+Contractor Address
Contractor Reg. No.
NUMBEERS/T/TR�E�E�T SIDE
� BETWEEN WHAT CROSS STREETS
....6%471, � "C -C LSV
LOT LOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
d
STRUCTURE , 2f0 ^9,4 ��i
0 YES DETAILS OR REMARKS:
BASEMENT
0
NO
r-2-"L'45Cr, — is-r1- 7.
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 fore permit con be iss
OWNER/CONTRACTOR SIGNED '4 07-Lai -6/6'
-1.
OK'D BY