HomeMy WebLinkAboutBP 1976-1061 Storage Area FEE SCHEDULE Permit No. l°6/VILLAGE BLDG. j VILLAGE OF OAK PARK HEIGHTS Plan No.
"' (For Dept. use only)
STATE SURCHARGE Jif
BLDG. PERMIT L
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 7 : //"/� 7r�
-/ " 6 19_
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TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK f
SQUARES It
BY X
Owner — c
�9<x tv Address -2` ‘i . /')/-1-7,411,1 C24 /61 ,
Architect Address
General Contractor .-✓G Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
52))tZ- t9/e171/7119)C 4/
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
C...°ITRUCTURE 57:::)(1Q
r
0 YES DETAILS OR REMARKS: ( ,____fi ce:.2Gef (c`i
BASEMENT 0 NO (�=7r� ��l�i z„, P, P '_.,e1
00
JI , , ► -2— — /f 7d
Th u •ersigned here y make application for a permit to do Building Work as herein specified, agreeing to do all work inst�ccordance with
.
all ordinances of the Village Oak Park Heights. Contractors must register with the village before •er.
OWNER/CONTRACTO---------C—D .....0--............
OK'D BY