HomeMy WebLinkAboutBP 1977-1235 New Single Family FEE SCHEDULE Permit No. I a - b
VILLAGE BLDG. • 6..- VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /iy 7 /.._.--.5-r)
/ (For Dept. use only)
BLDG. PERMIT [ /
VILLAGE UTILITY
METRO SAA.0 LBG — aas O APPLICATION FOR PERMIT 2) 817-7
UTILITY CONNE ION - -,Ir Date 19
TOTAL AMOUNT DUE Lk qt. kg:t• `- /
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X ( l n 1 n u u u ❑
Owner C L , �- 7-C:71../.‘,..9A,.7-
Address
Architect r Address
General Contractor J �yV (9 c Address f1 9 f 0 F 1
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT i 7 /7,r— Ye
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE -z.- 3 i / 7,---- / '-- /1c 11p6
BASEMENT
YES DETAILS OR REMARKS:
er
❑ NO
', /, M, 6 9 7- '2 `77
The undersigned hereby makes application for a permit to do Building Work as herein specified, greeing to do all work in strict accor nce Ith
all ordinances of the Village of Oak Park Heights. Contractors must register with the village . *ore permit co be issued. 40
OWNER/CONTRACTOR SIGNE.
OK'D BY