HomeMy WebLinkAboutBP 1976-1008 Bathroom Remodel i,.e..‘
FEE SCHEDULE Permit No. /C)6 F
PILLAGE BLDG. i� VILLAGE OF OAK PARK HEIGHTS Plan No.
TATE SURCHARGE _ , 57) �L/. / (For Dept.use only)
3LDG. PERMIT !I x SC r�`9 . .`, 7
PILLAGE UTILITY
:XTERNAL PLBG. APPLICATION FOR PERMIT
AETRO S.A.C. r�
JTILITY CONNECTION Date ^ — c O 177?
rOTAL AMOUNT DUE 4,j7�f
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
>O BYRES v I I �(
BY X ^ t N
Winer '(. relic! I (r-- r 1 A Address 15 36 5 /J 5,71-4 ''
,rchitectII Address ,{
ieneral Contractor L ► n d 6a.Ir-7 + Sc h 4 Address /6 714 gyfh ,.S-AA1,
:ontractor Reg. No.
(UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
_OT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION yq��E/ ...JSTIIM�AATED VALUE
' 5 }-�
UCTURE - D/ � /
4 /rood+S4ee//i.1 "� ' . ..5- so
XYEs DETAILS OR REMARKS:
iEMENT
0
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NO �/ C�1'� c..--;J G
1 i. , ,,a-- l'i7 4 � �� s
, igne �
' 1,011
� I .ersh eby m kes app kation f r a per it to do wilding Work as herein specified, a Being to do all w Ic in strict afcordance with
ordinances of the Village of Oak Park H hts. Contractors must register with the village before ermitsan be, wed. . ��
OWNER/CONTRACTOR SIGNED i/��/`�r( i U/�=�YiC� 4/�'`?- j°'"-
OK'D BY /