HomeMy WebLinkAboutSI 1976-1139 Sign Replacement IN.
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FEE SCHEDULE Permit No. t 139
CITY BLDGi. fri `'}" CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
UO
BLDG. PERMIT (Cl
CITY UTILITY
EXTERNAL PLBG.
APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION �(j�`�te �_�- 197(
TOTAL AMOUNT DUE ' �'_ ` n l�
STRUCTURE USED AS
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK HSIGANG
SQUARES
BY X
Owner � k 0 5 �,� Address 5 oo O gco4- NWE L)
Architect Address V
General Contractor o 40arl (1 t r.(\ Address ) rContractor Reg. No. `
00-1
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
_ 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 /5-Q ilii.y
BASEMENT
❑ YES DETAILS OR REMARKS: � ' /a<
n
The under igned hereby/ plic ion r a ermi to Building Work as herein specified,agreeing to do all work in strict 9 9 c accordance with
all ordinances of the City of Oak Park He ghts.Contractors must register with the village befor per cnbe. ed.
OWNER/CONTRACTOR SIGNED RA.C�bt9 V�•
__ OK'D BY