HomeMy WebLinkAboutBP 1974-800 Swimming Pool "IN ^I;
FEE SCHEDULE Permit No. 2 OO
VILLAGE BLDG. /S43 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE / 5
(For Dept.use only)
BLDG. PERMIT 13O
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date ,S- --- 1. l/
� ,19
TOTAL AMOUNT DUE -CCU'cY1,�%?/A.)5 I G(' <
STRUCTURE I'SED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ` ,� - -
BY X ffils
Owner_... _L/ + 7e- v,veiSC VILEiI)!'
— . AddressS/ TY/l L.W6ST'1LI3G �3s‘Ji.,
Architect Address
General Contractor /)5o19Lo
LA 7 o4S i'ii . Address 24/o0 —DA/P07r9 190 C%: 4-r;:;,_s- ?ie,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
3 is- Sr. Cico/r .y/L `v,
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 ' / r C? suor k.`�
BASEMENT ❑ YES DETAILS OR REMARKS:
❑ NO
a '7,,,t, f a-3 - 147 y
he undersigns here y rakes appli io fora ermit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak P rk Heights. Contractors must register with the vill before per con be issued. /f (�
Y-
OWNER/CONTRACTOR SIGNED 9C .<, J ✓
. (-L¢.�u.+ �,`} 4.---e-
, BY - (/