HomeMy WebLinkAboutBP 1976-1030 New Single Family ■
FEE SCHEDULE Permit No. /63 Q
✓ILLAGE BLDG. l VILLAGE OF OAK PARK HEIGHTS Plan No.
1 !1 (For Dept. use only)
;TATESURCHARGE it. l
3LDG. PERMIT 53'
VILLAGE UTILITY
EXTERNAL PLBG. ' APPLICATION FOR PERMIT
NETRO S.A,C. l '�
UTILITY CONNECTIO �l"i' Date 76 19 C
TOTAL AMOUNT DUE l,("'. r
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL - ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES - _ L ] _ _
BY X
Iwner Y I G i4 �e.��'.!— Address f r7 ' 'f21d i� w. 7-..(..,
,rch itect Address
ienera I Contractor 6 a & ,75,, � — � --,- Address J 9 dP d n"' /4 ii--i9
:ontractor Reg. No.
UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
V.r Z7i` ✓ f d - /4 r 4, 4 ilk" — ./ '(--
_OT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 79'.o — yJ /3 I" .Fe
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
UCTURE Z 3 v fr L' Z �, 9 OO
/YES 04� e� ,1-‘ e, a DETAILS OR REMARKS: (y x �• `i
EMENT a
NO /3 -1,1. IY
(nd � o 1 (/ `!''- ed h eby m rtes application f a perm t to do Building Work as herein specified, a eeing to do all work ' strict accord nce with
9
>rdinances of the Villa a of Oak Park Hei ts. Contractors must register with the /
OWNER /CONTRACTOR SIGNE �`�'
OK'D BY