HomeMy WebLinkAboutPL 1976-1015 New Single Family r..„,
Permit No.
VILLAGE BLDG.
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
�� ` O (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY
GxTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. date ‘/-.. 7=
UTILITY CONNECTION �� �
j, j' O/t .0
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG. ALTER REPAIR REROOF RESIDE lE i OVE WRECK SIGN
MARK BUILD P M. HEAT INSTALL U 1 I
4.
SQUARES I I I l I
BYX lTL7
Ownea Address '
Address
Architect p� � � o ,�� f , ,� ,��
General Contractor C L - " ■ - Address r
Contractor Reg. No.
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
' _/ c 1 /C.! 5 S ii l ADDITION OR TRACT
LOT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
ESTIMATED VALUE
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION
STRUCTURE
DETAILS OR REMARKS: • t 5°
❑ YES
BASEMENT ❑ NO
The u ndersigned 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 before permit can be issued.
OWNER/CONTRACTO
OK'D BY