HomeMy WebLinkAboutBP 1976-1080 New Single Family Permit No. /
0
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
ILLAGE BLDG. (; (For Dept. use only)
TATE SURCHARGE /i
LOG. PERMIT 57
ILLAGE UTILITY
XTERNA PLBG.
IETRO S.A.C. .3 9‘1 APPLICATION FOR PERMIT
•
ITILITY CONNECTION Date /a 19 96
'OTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ____. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK � (''� � I U C
iQBY X ES i 7 7 ( I __
Iwner c ; ; : , * ' E 42-0 r c _,.... Address
,rch itect Address
general Contractor
V �/ ✓ Address le"----
:ontractor Reg. No.
IUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
ij`3 Y 1r7 /(// ,AAA- '/‘
_OT BLOCK r ADDITION OR TRAA
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT . 7/ / J O /0 3
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
2UCTURE Z'f° >/, / '2 / F----":1-',9W/C----- IS 7
tid-'CI IQ '�� DETAILS OR REMARKS:
lE
SEMENT YES
O NO .2 1c
e ers G pp Ica on to perm' do Building Work as herein specifie•, agreeing to o all work in strict accordant with -
e nd gne Neteby make �
ordinances of the Village of Oak Park HeiIts. Contractors must register with the villa, ' 'fore per- it ss ` D
OWNER /CONTRACTOR SIG D 111.
OK'D BY -