HomeMy WebLinkAboutME 1974-714 New Single Family FEE SCU a i�
VILLAGE BLDG. . 7; VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE _ ��� ,
' 'BLDG. PERMIT -
VILLAGE UTILITY
EXTERNAL, PLBG. APPLICATION FOR PERMIT METRO S.A.C,
UTILITY CONNECTION Date /� 19L
7
TOTAL AMOUNT DUE �r'^ ;o "� '
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEA
T INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES U
BY X
Owner16e.-1.--et-4-41 /L )(---- Address 67 3( � Jt,' 4
�l �Architect Address ,�^
ontractor Al-e-v-i � j ��Address /�.� L/Q,a
I ,, G ^F ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
SZ 00 d2--.';','' 4--e-4.."1
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 c�
7,��, YES
BASEMENT 2
DETAILS OR REMARKS: _�j �.< —
0 NO /• � 7l
/sr d° Zi...s,_.; z - t-/Z ep —//0 od-r-r-i.c.0.--74,—
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The undersigned hereby makes application for a permit to do B ding Work as herein specified, agreeing t do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before perm c be issued.
OWNER/CONTRACTOR SIGNED .-( --e-- .1G ..- / ?F"/
OK'D BY /'�fd'. ..,Gf/ 11LC�e=t