HomeMy WebLinkAboutPL 1976-1089 New Single Family FEE SCHEDULE Permit No. / VILLAGE BLDG. k 3 . � VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE r ;. 2 6
BLDG. PERMIT D
VILLAGE UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION [lite 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLU B. HEAT INSTALL ALTER REPAIR R EROOF REE MOVE w_RECK SIGN
MARK U
SQUARES B Y X I I 1 1 `_ ---
111
�Q ,,
Address 1 `i'`t 0 0 --s �"�' h
Owner �A —' �..."''
Architect V Address � ,� n
General Contractor (1`' c� a n r n,,' 1, Address Uc 6 � � 3�- CS `
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
4 /4 / 06 .51-4--
5 'tr
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
iTRUCTURE
id
❑ YES DETAILS OR REMARKS: I e ( , 1 1 4.4 Of -
BASEMENT ❑ NO jJ �
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 -