HomeMy WebLinkAboutBP 1974-693 New Single Family FEE SCHED J LE„ Permit No. 6 73
VILLAGE BLDG. 3 .-1Fv VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 1!I
� (For Dept. use only)
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG.METRO S.A.C. -1(10.1 APPLICATION FOR PERMIT 6/2_ -7
UTILITY CONNECTION Date 7 Z 4' 197/1`
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PtLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUBYARESX 1....
1
l
Owner " Address 7
Architect Address
General Contractor d W 146'��' l r -v J 1.. ,.) c' Address J"d' 91 0 rat AAz-,, A '
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
SL 3v 0 ►M Art- E ")a IA-) SZ a ci D• E- •
LOT BLOCK ADDITION OR TRACT
1 .3-- 5 w 4-6 ,Z �'2-
�J�� f
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 3f .0 3'0
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 7.- .1,..-__ 1.1 J`Y O / =/C. 9 C'' Z 6, D v s_t "f
o d71 DETAILS OR REMARKS: C'4nAG-�
0 Cl/ES ad
�S r
BASEMENT NO V•(I /(,)
The undersigned hereby makes application for a permit to do Building Work as herein specified greeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village .ore permit can b slued
OWNER/CONTRACTOR SIGNE "A � G
OK'D BY v