HomeMy WebLinkAboutBP 1975-939 Window Replacement FEE SCHEDULE Permit No.
VILLAGE BLDG. qre. VILLAGE OF OAK PARK HEIGHTS Plan No.
r. (For Dept. use only)
STATE SURCHARGE °7`1 ((/
BLDG. PERMIT 9`7,+
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT '°% l7�
METRO S.A.C.
UTILITY CONNECTION Date "2y 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. NgLtJ
BUILD PLUMB. HEAT INSTALL t,1//N7A✓` HANE
MARK .S ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner Ak. Address /5 3 6S 5g/ Jr=
General ContractorG N _ / ' G✓ AP Al/ -(Address /d7/0 /w
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/5365 "sr. ill'.
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 j/N ,AI / p 4Qf,•tE 3voc.I. CSU
BASEMENT
0 YES DETAILS OR REMARKS:
❑ NO
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 village be re permit c e ' sued.
OWNER/CONTRACTOR SIGNED
OK'D BY