HomeMy WebLinkAboutBP 1977-1277 New Single Family FEE SCHEDULE Permit No.. I A
CITY BLDG.. yG 2'9. CITY OF OAK PARK HEIGHTS Plan No.
,-. (For Dept. use only)
STATE SURCHARGE /i �`
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BLDG. PERMIT C"/
CITY UTILITY
EXTERNAL PLBG.
METRO S.A.C. ..r S APPLICATION FOR PERMIT // / _ I ' OO 7 �,
UTILITY CONNECTION Date R ' 19
TOTAL AMOUNT DUE
t}QDIN 3 STRUCTURE USED AS
REFRG HANG
MBARX BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SI N
SQUARES —^ Fl U _. TI ri (ri
S7c�c fc:4- v Z e
Owner Address
Architect Address
General Contractor GvrI -f, 6 At,/ 1 7' ' - Address ,��f e .vl '¢ '
Contractor Reg. No.
NUMBER �STjREEET SIB BETWEEN WHAT CROSS STREETS
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LOT BLOCK ADDITION OR TRACT
/ N ?. j i #) C l
WIDTH DEPTH SIDE OT CLEARANCE FRONT BUILDING LINE
LOT d d / 3a l 3 —' 3 d
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF ESTIMATED VALUE
STRUCTURE / e J T. / / Y/� e- Z9.OGb
um reva.raK 3 `l, ci m •-'"
DETAILS OR REMARKS:
BASEMENT 0 flZ i •
y ( /( q l 9.1
The u ry rWi ` hEr'eby{ma a plicaR f a i do Building Work as herein specified, ,.'freeing to do all work in strict actor ante with
all ordinances of the City of ak Park HeigtKs. Contractors must register with the village befor permit ca n issued.
OWNER; CONTRACTOR SIGNED / � `� /?
OK'D BY _ _,
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