HomeMy WebLinkAboutBP 1976-1069 New Single Family FEE SCHEDULE
Permit No. /l 6
VILLAGE BLDG. Ll K — 7,1 VILLAGE OF OAK PARK HEIGHTS Plan No.
t/ (For Dept. use only)
STATE SURCHARGE 7
BLDG. PERMIT P t' 3-
V ILLAGE UTILITY
EXTERNAL PLBG.
METRO S.A.C. 3.5 APPLICATION FOR PERMIT S
UTILITY CONNECTION Date 9-.4, .. 29 19Z_.
TOTAL AMOUNT DUE WO �G4
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES Y I I I I f —_
BY X IN I I l
Owner APS' 2 2. �.A 1 /..eux Address / rs' S 770.
Architect Address
General Contractor Si'a:4 -7c4 0Q OS Zr c. Address Sf9.r C5 4-1,1. Ave. yo.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/1/`744 ` 1 SS t6i -rt. /147
LOT BLOCK ADDITION OR TRACT
/4 z- , , ,w ,ems . ?
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 7X 6 .-- %`>'7C ..2 /' J .2' f JC I
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
iTRUCTURE 3, ' � z ' !cf' / 4/00 d f,Cn )1 a 28 Sa a . o o
' DETAILS OR REMARKS: l �_ [^ o 'rr" 3ASEMENT O NOS jtie-26Liti9,01176 a L -"
J 11-6
rho un by a e s • n to work in ict accordan h
arsignealtere ma app icatiofor p i it to do Building Work as herein P eci agreeing
all ordinances of the Village of Oak Park Fleights. Contractors must register with the vill a it s O r
OWNER /CONTRACTOR SIGNE 4 C
OK'D BY