HomeMy WebLinkAboutBP 1976-1037 New Single Family Permit No. ��
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
�wr � (For Dept. use only)
LDG. PERMIT
ILLAGE BLDG. , (( e rr. •^
rATE SURCHARGE !J � �• +c'7
G�
ILLAGE UTILITY
x_TERNAL PLBG. Q_
�
IETRO S.A.C. 't 1
APPLICATION FOR PERMIT
JJ ate 19
ITILITY CONNECTION 4()°4i
'OTAL AMOUNT DUE S TRUCTURE USED AS
HANG
REFRG. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PLUMB. HEAT INSTALL I I —_ I I —
SQUARES
MARK I U
BY X
9 F C »—
635;4 e A ddress 14 - ° cr
)caner
Address
architect ,----- 4----- general Contractor
�� 44-0 ' ii c Address
:ontractor Reg. No.
BETWEEN WHAT CROSS STREETS
NUMBER I STF111111111111111111111111M
ADDITION OR TRACT
LOT BLOCK /j /'
/ 3 W .4—.. —�� 40 /z'°f (�
SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH DEPTH /
LOT / /14 / <7 --- /<7 .
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
'RUCTURE Z
�N
MT �� ,DC� DETAILS OR REMARKS:
iKS
ASEMENT NO 1j-t 0 I �
< < . . )
on f ermit to do Bui W or k as herein specified, • • / eing to do all work ins ' t actor ce ith 1 4:titij dersigned here makes pp � �G;cL � ((,�
ill ordinances of the Village of Oak P ar Heights. Contractors must register with the village�e P -rm't •n 'ssued.
1WNER /CONTRACTOR SIGNED
•K'D BY