HomeMy WebLinkAboutPL 1976-1131 New Single Family Permit No. 1
FEE SCHEDULE
00 VILLAGE OF OAK PARK H EIGHTS Plan No.
.1 \_)1 GE BLDG. (For Dept. use only)
SURCHARGE lSZ
. PERMIT
1 G UTILITY
RNAL PLBG. APPLICATION FOR PERMIT /A — - -.
O S.A.C. Date 1.&--- (/ 19 ��
TY CONNECTION
. L AMOUNT DUE ,
STRUCTURE USED AS
HANG
BUILD PLUMB. HEAT REFRG . ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
RK
R H INSTALL jI
jES X l I n
r 1 1.4 K. .v� -,-et 4 Address
itect Address
:ral Contractor
RO - a (b, L12- .. Address q c7 LLB crti--u ^- L (Let
rector Reg. No.
3ER STREET SIDE BETWEEN WHAT CROSS STREETS
It ✓ ADDITION OR TRACT
BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
)T
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
TURE
DETAILS OR REMARKS: I o �,,,�� o
IENT J'� S
YES
O
4 r‘/ uildin Work as herein specified, agreeing to do all work in strict accordance with
ndersigned hereby makes application for a permit to do Building 1
linances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED
- OK'D BY __. _