HomeMy WebLinkAboutPL 1977-1166 New Single Family FEE SCHEDULE Permit No. 0
VILLAGE BLDG. , _ J • O Chi VILLAGE OF OAK PARK HEIGHTS Plan No.
�•y� (For Dept. use only)
STATE SURCHARGE �J
BLDG. PERMIT 'ST)
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT - 97
METRO S.A.C. / 7^
UTILITY CONNECTION Dat ''� -�"- IY'
TOTAL AMOUNT DUE �K.,,
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner 44 Address (�
Architect Address
General Contractor 5- J A- -al 11 7 P Address 17 LI) K
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS: ∎ YS'
3ASEMENT ❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
a II ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY