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HomeMy WebLinkAboutME 1976-1002 New Single Family Permit No. /00 aJ FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No. /ILLAGE BLDG. ��',� (For Dept.use only) ;TATE SURCHARGE 3LDG. PERMIT .4` JILLAGE UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT NETRO S.A.C. UTILITY CONNECTION Date '..-.,,rl I I d t97`- TOTAL AMOUNT DUE n-,,s i f4'nre STRUCTURE USED AS HANG REFRG BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN SQUARES BY X )caner "r. end 'Arc Thornes J itka Address '--H!-', r'mr Architect Address Heati rnAddress n 1 ^^ Avenue '!or+h c+i ( I ;.retr 50.00t .Kontractor c/-ht,,an+.� I nc Contractor Reg. No. NUMBER STREET SIDE 1 BETWEEN WHAT CROSS STREETS 5610 Omar 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 'RUCTURE $ 7.50 DETAILS OR REMARKS: I l;sin-7. )4o. G 12 3 I I Lennox ASEMENT YES 1 .25 0 NO 15.00 cas fired systerl: 1 1 0.000 3TU i n ut 50 $24.25 he undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with II ordinances of the Village of Oak Park Heights. Controctors must register with the village before permit can be issued. OWNER/CONTRACTOR SIGNED crl�''' cII OK'D BY_ , �"`-e-4$4/e i President