HomeMy WebLinkAboutBP 1973-609 Garage Block Repair r� 'ire
FEE SCHEDULE
Permit No. 6 d 9
VILLAGE BLDG. —7-CSU VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE / (For Dept.use only)
BLDG. PERMIT 7 SPD
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. .� (1
UTILITY CONNECTION Date _ ...J 19
TOTAL AMOUNT DUE !
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER RE Al REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
atLe
Owner �}-�— ` Address �l
Architect Address
;erreru+Contractor w Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
6 6 ,L2z , Lei
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION EST MATED VALUE
cx
STRUCTURE
YES DETAILS OR REMARKS:
BASEMENT •
l]
NO 6111> ,�
r
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 before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY.