HomeMy WebLinkAboutBP 1976-1036 New Single Family •
FEE SCHEDULE Permit No. /
GE BLDG. t'7 VILLAGE OF OAK PARK HEIGHTS Plan No.
u (For Dept. use only)
i SURCHARGE / 7 - -3-''''' ,
PERMIT 42
GE UTILITY
3NAL PLBG.DO
D S.A.C. APPLICATION FOR PERMIT fY CONNECTION Date � 7 19 � G
L AMOUNT DUE 41 � ---
40
STRUCTURE USED AS
REFRG. HANG
K BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN -
X S �i _ __
e/z� -c /91Z-✓A)e7'�c-� Address
ect Address
31 Contractor 6 L ,- 5/7- of c Address ' id' 0 /11 a %`'s''
Ictor Reg. No.
:R STREET SIDE BETWEEN WHAT CROSS STREETS
' IC, ..t 1- c '
i. / A. . 0 M i4 /-4
BLOCK ADDITION OR TRACT
7 7i �W �5+ G� O ✓ 2 o..r S 7
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
FL /3 5" .3 a '
7,
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
RE Z 5/ g. / v / / " �til•G � ., l c ;c:,,,,,,,...,4-
T t5 �'� / °O� G DETAILS OR REMARKS: �Gt a ,t.
y " �S i
❑ NO j , ; t , Q t ti l td
�4 p_ /4— 11q7.4 " � ,
-
rsigned he /---:),„
y •'es ap Icati fo a p mit to do Building Work as herein specified agreeing to do all work in strict accords e w'th
nces of the Vill•ge of Oak Pork eights. Contractors must register with the village re permit ca issu
nWNER /CONTRACTOR SIGNED -4- cur"
OK'D BY —