HomeMy WebLinkAboutBP 1976-1096 New Single Family FEE SCHEDULE , i_ 2 p p V IL LAGE OF OAK PARK HEIGHTS Plan No.
Permit No. �� 9
VILLAGE BLDG. / $
1.6 (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT ,
VILLAGE UTILITY
EXTERNAL PLBG. r APP LICATION FOR PERMIT
METRO S.A.C. 3 i7 , r1 ;
UTILITY CONNECTION D ate 7
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG . ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ MARK BUILD PLUMB. HEAT INSTALL I U
U --
BY A X RES '-- ri
Owner A-0v Address
Architect Address
'/ re'" General Contractor Address
C ontractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 C7i V/6 Nr fr Al 6271e 5F IC P
LOT BLOCK ADDITION OR TRACT
/3
.%\q- , 0/56-416.9 l...7 4 ,
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT .1 / d O
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / / "��� e r Q� /
DETAILS OR REMARKS: I I
BASEMENT
YES / x
p NO
Y
The undersigned
hereb makes application for o permit to do Building Work as herein specified •greeing to do II work in strict t / c•f Banc/ ith
r
all ordinances of the Village of Oak Park Heights. Contractors must register with the village • - •re •t / / / AO
OWNER /CONTRACTOR SIGNED
•K'D BY
•