HomeMy WebLinkAboutPL 1976-1136 New Single Family •
Permit No. I' I i"
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ;�
VILLAGE BLDG. � � (For Dept. use only)
BLDG. PERMIT •=23-1S
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT rZ- ---1‘z, METRO S.A.C. D I - I1 19
UTILITY CONNECTION
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG
MARK
BUILD P UMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN )
Owner
SQUARES I I I
G Address
y 1
Architect n Address
General Contractor V' I!. --- Q k L 1.,,,,C • Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
h //6 `/ S15 Ti
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
,TRUCTURE
DETAILS OR REMARKS: I l0 �� 2- t O
3ASEMENT YES
Q 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
all 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