HomeMy WebLinkAboutME 1976-1119 New Single Family FEE SCHEDULE Permit No. t 1 1 1
VILLAGE BLDG. c = VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t
(For Dept. use only)
BLDG. PERMIT �� •��
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION ate October 8 19 76
TOTAL AMOUNT DUE Residence
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I I =
BY X X U
)wner Swager Bros., Inc. Address 5898 Omaha Avenue North: Stillwater
architect Address
i lla ontractor Schwantes, Inc. Address 6192 Oasis Avenue North; St i I !water
:ontractor Reg. No.
UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14448 55th Street
_OT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
•
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
UCTURE
O YES $7.50 DETAILS OR REMARKS:
EMENT -
0 NO 15.00 Using No. G12Q3 -82 Lennox gas -fired unit; 82,000 BTU
.50
$23.00 input.
undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED .AIL
OK'D BY ,
` I President