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HomeMy WebLinkAboutME 1976-1044 New Single Family n FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No. t 04* VILLAGE BLDG. STATE SURCHARGE � _ ? (For Dept. use only) BLDG. PERMIT .yt (mob VILLAGE UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT METRO S.A.C. UTILITY CONNECTION Date June 23 1976 TOTAL AMOUNT DUE Residence STRUCTURE USED AS REFRG HANG MARK SQUARES BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK 5a BY X 1 1 n n fl n I Owner Mr. and Mrs. Victor Firkus Address J4577 — 55+h street; StiIlwator Architect l+'�C ittee,ct Address tR SchwantAS, Inc-. Address 6192 Oasis Avenue North; Stillwater Contractor Reg. No. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS 14522 55th Street LOT BLOCK ADDITION OR TRACT WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE BASEMENT YES $ 7 DETAILS OR REMARKS: Using No. G1293 -82 Lennox gas 0 NO 15.00 5 0 --tired- system; 82,-00 BTU i nput $23.00 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 ermit can be issued. OWNER /CONTRACTOR SIGNED S INC. _ OK'D BY ( t', President