HomeMy WebLinkAboutBP 1977-1292 New Single Family FEE SCHEDULE Permit No. VD-S0 -.
CITY BLDG. 5-4 CITY OF OAK PARK HEIGHTS Plan N
�/ (For Dept. use only)
STATE SURCHARGE ,
CLOG. PER I7 ..i
cITY 1 _ 1 // --11 EXTERNAL PLBG. . .IS .. '5__;_'0 APPLICATION FOR PERMIT
METRO S.A.C. 3�t�a0
UTILITY CONNECTION .0 Oa }e / , 19 7
TOTAL AMOUNT DUE :. k '�) �'"'`
5 UCTURE USED AS
HANG
BUILD PLUMB ,.. REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
EAT HEAT INSTALL I I fl I I f
MARK
Sp I` r'--I I [ a
DA __ �—'
BY % RES
Owner Address
Architect Address
General Contractor
eSW 6, E i a / -� dcAddress " 9 .0 a ii 1444
Contractor Reg. No.
NUMBER STREET SIDE l BETWEEN WHAT CROSS STREETS
i V2-9 3 f I fo
LOT BLOCK ADDITION OR TRACT
a I S "-a orgr.-7, ' A -Ail
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT j• r / 3 J I / y/ d 0
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
A4 /--- eoo
STRUCTURE ry L� 43 - .4-7,7e 3 y. c oo
/" DETAILS OR REMARKS:
BASEMENT .YES
Q NO
^
//___ (22 7
un 1 ed ere ma es a Ica 1 fo ape 9 to do Building Work as herein specified, a reeing to do all work in strict accordanc with
all ordinances of the City of Oak Park H fights. Contractors must register with the village befor ermit can be issued. / �`
"
OWNER /CONTRACTOR SIGNE 4.... � T!�
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