HomeMy WebLinkAboutPL 1976-1014 New Single Family Permit No. /(5/
VILLAGE BLDG. / � "U O
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE IS-0 ��/
BLDG. PERMIT �3'
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT �y
METRO S.A.C. y /
UTILITY CONNECTION Date !!!
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
RE FRG. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLUMB. HEAT INSTALL I
SQUARES IIIr-I\]—W
Li
BY X_ } I`
f.\"" "4 '".n0. Address Lo l(> l ) "u-�'z--'
Owner wL
Architect Address
General Contractor
— 3" 436-.\1� v\,C . Address G v) L 6r41,..a.�,,,_ 1-.r,-k 12.1,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
`63 C m 16\,\r-‘60Q--)(k_.'
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I 0 J at?�vL1v‘c3. S O
BASEMENT YES
Q 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