HomeMy WebLinkAboutBP 1976-1054 New Single Family Permit No. ,� �
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
VILLAGE BLDG. y� (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. a APPLICATION FOR PERMIT �
METRO S.A.C.
UTILITY CONNECTION Date 19 74
TOTAL AMOUNT DUE —T\
STRUCTURE USED AS
REFRG HANG
.
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK U
SQUARES �( - f I f n ri
BY X /` 11 --
Owner
G //7 c U r --� c Address
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET STREET SIDE BETWEEN WHAT CROSS STREETS
f 1 .44 , J ✓'_ °' � N O rv%A 4R j --, y
LOT BLOCK ADDITION OR TRACT
‘ C
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT - 7 / W yJ — Y1 3 o'
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 si 5 to / L" / Z A 111 Gr. ,e y d
CA Yd ')` DETAILS OR REMARKS: , „ AAAa �,� —
BASEMENT
(EKES `�" `'
p NO ,
T undersig he by m es appl cation r a perri fo do Building Work as herein specified, reefing to do all work in strict accordan wi h
all ordinances of the Village of Oak Park Heights. Contractors must register with the village or permit u
it`an b d. ` GL �
' Y
OWNER /CONTRACTOR SIGN ��ll –
_ OK'D BY —