HomeMy WebLinkAboutBP 1976-986 New Single Family FEE SCHEDULE Permit No. % a Co
/ILLAGE BLDG. _ '___ VILLAGE OF OAK PARK HEIGHTS ' Plan No.
iTATE SURCHARGE G.
/ / _ 17 CC (For Dept. use only)
3LDG. PERMIT 1
/ILLAGE UTILITY
AETRO SAA.0 LBG. 3cZ) • o0 PCP APPLICATION FOR PERMIT
JTILITY CONNECTION V .�,\ ate Z / 3 19 7b
rOTAL AMOUNT DUE "
--..■ S RUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
>O BY XES I/ (/
P1 _. U Fl
i wner /4-41"jz' ,/c" /32R.-- ���� c. ' r` ' " Address
rchitect Address
eneral Contractor °SW 4 G ET/c. r3/2-,7,-- -L7" Address f' 9 c Q /Y1 i4 J
ontractor Reg. No.
UMBER STRFFT SIDE BETWEEN WHAT CROSS STREETS
�7 a .r.r V NV 0 ran >fc. - '1 /14 .
.OT BLOCK ADDITION OR TRACT
Y 5 /9 E-� 13 n.- Q J J—
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 1 ?/ / 3 / 1 / J 3 o
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
JCTURE ')/(P f / 1/' / /"--/ .L 3 v
Q Oa 9
GK Es i 3 3 �°'c'C) DETAILS OR REMARKS: }d N ,
EMENT
`� 'YES
0 NO 44 - 1" ..if i vAt ga titst., 14 :131..
ndersigned her by m e p icaqq�t'p n fora ermit to do Building Work as herein specified, reeing to do all work in strict accord ce with
ordinances of the Villagl of Oak Park Heights. Contractors must register with the village b re permit can issued '
OWNER /CONTRACTOR SIGNED - � ` ���" .„..,if2) . :
I
OK'D BY