HomeMy WebLinkAboutBP 1976-1053 New Single Family FEE SCHEDULE Permit No. I 0 S3
VILLAGE BLDG. X VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /) (For Dept, use only)
BLDG. PERMIT 6. ..
VILLAGE UTILITY
METRO SAA,C LBG. ^ S —C.. APP LICATION FOR PERMIT
f ��v yl,
UTILITY CONNECTION + 6 Date 19 /$
�, TOTAL AMOUNT DUE (�
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB.
I B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
I
SQUARES I �,, I I U I(
BY X [ 111
Owner �� ''. Cn./ ;-/✓ Address 3 41`1-'-11- ;? `'z- -. 14 /)IA iLA:lf 4 .i
Arch itect /� Address
General Contractor to �'r - �c /Z- 't' .r I,1 L Address Ja 47,47 e d') „A .' 4
Contractor Reg. No. •
NUMBER S REST
SIDE BETWEEN WHAT CROSS STREETS
7 4 4- (7—
J - Gr
LOT BLOCK ADDITION OR TRACT
g - ,w fAJ(
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 7 -7 / /6 L?
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z c /6:. ` . /- Q , %'-.
YES Ca ` � �`,i rI 2 L ^ v DETAILS OR REMARKS:
din
BASEMENT
0 NO 3 410 t 2Q ,c.,n /304 t
. �-
Th undersign her by ges app ir'catiif a p mit to do Building Work as herein specified, reeing to do a work in strict accord nce w'
all ordinances of the Village of Oak Park eights. Contractors must register with the village b ore permit van issue �
OWNER /CONTRACTOR SIGNED -s./ f' -',.-e-4.." �� �"` ,��!s` �jn/��
OK'D BY