HomeMy WebLinkAboutBP 1976-1121 New Single Family FEE SCHEDULE Permit No. // A i
VILLAGE BLDG. gam' VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE / c•-g- (For Dept. use only)
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BLDG. PERMIT �*
VILLAGE UTILITY
EXTERNAL PLBG. O !
S.A.C. METRO S.A APPLICATION FOR PERMIT UTILITY CONNECTION Date / / 19_
TOTAL AMOUNT DUE 4' • 6 � ` `-'� 1(J� Q l ._
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HE AT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES f . l ^
Z I I `- -. BY X
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Owner 4 r�J a:✓B �{ c ' ' Address
9/ 7 ✓U . / Pr
Architect 4R-4,,,--7-->t‹.., Address
General Contractor C�� c�.� Address j7R. 0,i, A Af
Contractor Reg. No.
NUBER STREET SIDE BETWEEN WHAT CROSS STREETS
/rs7f f /UJ C M !+-T -1 A- —
LOT BLOCK ADDITION OR TRACT
// ? 5 mac_ 4 z c G
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / of / z / (/:/ / 7`J l /
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z7` '>/.6 / 7i / /Z-.9-, Z J.eo —
4 kat-a Az 3/, ccc D DETAILS OR REMARKS: 4e
BASEMENT
0 /7
NO i $
c /1— 1476
L' 1
Th, niersigned ereb ma of opplifation For permit to do Building Work as herein specified, greeing to do II work in strict actor nce ith
all ordinances of the VI loge of Oak Park Heights. Contractors must register with the village ore pefmit . c a issued,th „ f
OWNER /CONTRACTOR SIGNE '�t�CJ
— OK'D BY