HomeMy WebLinkAboutOT 1793-615 Re-Roofing & Residing FEE SCHEDULE Permit No. 4/
VILLAGE BLDG. /1 4) , VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /-'e ,5 4 (For Dept. use only)
BLDG. PERMIT //J
VILLAGE UTILITY
EXTERNALPLBG. APPLICATION FOR PERMIT
METRO
S.A.C.S.A ��%//
UTILITY CONNECTION fat= i•�. 19 ,.�
TOTAL AMOUNT DUE . .,
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR R OOF R�6 MOVE WRECK SIGN
SQUARES ,
BY X
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Owner / ile.-11-4. (-3! 3 . rC�/� //`` L.
�- Address � pe„_„._e_... C.C.t�e . /t-.
Architect 4 Address
Gcne,al Contractor 0Znn ,•-----' 's' �-- , Address k,z-c__42._..a...„,-.... ...„
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Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS _
ei3
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Q O
BASEMENT 0 YES DETAILS OR REMARKS: ‘4,1—
O NO ,J0L
1:411 ,
The undersigned hereby makes application for a permit to do Building Work as herein specif• d, agreeing o ��u t accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the villa before perm n • d.
OWNER/CONTRACTOR SIGNED s �,,,c.
OK'D BY '