HomeMy WebLinkAboutBP 1976-1094 New Single Family FEE SCHEDULE, Permit No. /O 9
VILLAGE BLDG. U VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /
t (For Dept. use only)
BLDG. PERMIT ____
VILLAGE UTILITY
EXTERNAL, PLBG. 3 S °J APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / b 1 �G
TOTAL AMOUNT DUE v /
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER RE ROOF RESIDE ESI MOVE WRECK SIGN
�\
SQUARES �/" I ^I REPAIR R U �
BY X ri
044 Owner id" Address / 19 9 ./ 0
Architect Address
General Contractor '� '� Address '— b----
Contractor Reg. No.
NUMBER TREET
SIDE BETWEEN WHAT CROSS SIRE TS
h Tr 'fa
rIl 6a7X-1°Z F f‘
LOT BLOCK ADDITION OR TRACT
/V v / 6 � ��
WIDTH PTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT ri /1•4' / / v /',.---- /<2 2
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / y �h i F
-7 v9 00
BASEMENT e � js DETAILS OR REMARKS: �1 .• _
T � GI � O
•
AP
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr n to do all wor in strict accordance ith
all ordinances of the Village of Ook Park Heights. Contractors must register with the village b( permit • • i t
OWNER /CONTRACTOR SIGNE• 4111 "''''-." -
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OK'D BY