HomeMy WebLinkAboutBP 1976-1081 New Single Family FEE SCHEDULE
Permit No. /0 1/
VILLAGE BLDG, 5 '''--1-004 VILLAGE OF OAK PARK HEIGHTS Plan No.
/ (For Dept. use only)
N
STATE SURCHARGE /
C..... BLDG. PERMIT � c
VILLAGE UTILITY
EXTERNAL PLBG. J -,f�": v) APPLICATION FOR PERMIT /
METRO S.A.C. '---
UTILITY CONNECTION Date , / 'r 7 19
J
TOTAL AMOUNT DUE �/( a j
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL - ALTER REPAIR RE ROOF RESIDE MOVE WRECK SIGN
SQUARES I ^I -' U
BY X `�
c ' F7v ic-(P r j ,r�" u, 001 4 :�.4
Owner A ddress
Architect Address
General Contractor `� "� Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
i VV
1 7-1—r7 - 1 6 . . 1 /114f 9444.A4- ' 7/ b/--‘ --
LOT BLOCK cc ,/ ADDITION OR TRACT
o f GJA-� ErZ/ L�r//z acr
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 7/ )-7/ "' /0 .F:
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / Ve _v y / �Z��'� o ! CSI 1 °V
qt, L 2 cL
"f' O�`� r �` DETAILS OR REMARKS:
BASEMENT NO / DD •
0 u C ,b/3- 574 /
y T undersigned h eby kes applr a °pert to do Building Work as herein specified, reefing to do all work in strict accordance with
all ordinances of the Vill ge of Oak Park Heights. Contractors must register with the village ore ermit ca be ' sued. 40,i /
OWNER /CONTRACTOR SIGNE
OK'D BY -