HomeMy WebLinkAboutBP 1975-965 Fireplace FEE SCH DULE Permit No. 9 S'r 1
VILLAGE BLDG. ° 00 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE `..{ (For Dept. use only) q
BLDG. PERMIT 1 ` 0 0 P
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Da /cZ—/D 19Z1
TOTAL AMOUNT DUE
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STRUCTURE USED AS
REFRG
MARK BUILD PLUMB. HEAT INSTALL HANC-
ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner Vc)- t.1\k Q_LA 1q �� D-S
Address 1-1 ,
Architect Address
Gen ra-LContractor11Q.L ,rjD Z Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5—(2'D•S CS—sUt:zia G..-u—e_ .
LOT BLOC ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
.
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
AOooaSTRUCTURE m
BASEMENT 0 NO
Las). ,...,..„...L.e......0 jJLAQ4L.❑ YES DETAILS OR REMARKS:
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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 villa before permit can be issued.
OWNER/CONTRACTOR SIGNED aLA . .
OK'D BY