HomeMy WebLinkAboutBP 1973-600 Re-Roof FEE SCHEDULE� Permit No. 4 40
1,
VILLAGE BLDG. o0 VILLAGE OF OAK PARK HEIGHTS Plan No.
R52
{ (For Dept. use only)
STATE SURCHARGE •rby [ //J�l�Y.Jsiyj
BLDG. PERMIT ! a,� Q
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. g
UTILITY CONNECTION Date -`1 d 1913
TOTAL AMOUNT DUE
•
STRUCTURE USED AS
RE FRG HANG
MARK BUILD PLUMBHEAT INSTALL ALTER REPAIR REROO RESIDE MOVE WRECK SIGN
.
SQUARES II(t �
BY X
� 6'4.1y- P xiOwner32Ce-sts-----
Address '
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE
SIDE BETWEEN WHAT CROSS STREETS
5(214 PfLtS,<-:,. (\/
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 9OO Oma*
BASEMENT
O YES DETAILS OR REMARKS: d
❑ 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 before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY .4.A/S 6