HomeMy WebLinkAboutPL 1976-1083 New Single Family FEE SCHEDULE
VILLAGE BLOC. VILLAGE OF OAK PARK HEIGHTS Permit No.
STATE SURCHARGE 1 .0: 3 PIOe Np,
BLDG. PERMIT` - Ql+; (For Dept. use only)
VILLAGE UTILITY �+ `'
EX TERtlq� PLBG.
METRO S.A.C. APPLICATION FOR PERMIT 4=k-la
UTILITY CONNECTION 7 - 3 —�/
TOTAL AMOUNT DUE "�� ^ -1 19 l r c ,
STRUCTURE USED AS
MARK BUILD PLUMB. HEAT INSTALL
L
ALTER REPAIR REROOF RESIDE MOVE WRECK
SQUARES � ^ I I �pF R. E HANG
BY X I I `I(�I 1 !( "� I u � a
Owner !�
Architect �:__
Address .
Address
General Contractor V Pc
I
Address Ci Qr, l � zi E
Contractor Reg. No
NUMBER
STREET SIDE
` BETWEEN WHAT CROSS STREETS
LOT BLOCK
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
IIIII IMIIIIIIIIII
BASEMENT YES DETAILS OR REMARKS: - 40.1 s'
O NO ✓ /i,
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