HomeMy WebLinkAboutPL 1975-950 New Single Family FEE SCHEDULE Permit No. `7J v
VILLAGE BLDG. Ici.(>(, VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t S (For Dept. use only)
BLDG. PERMIT 1 C , S7
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �j
UTILITY CONNECTION Dat /O '�- 197r-
TOTAL AMOUNT DUE / 9. /`-'r -.a__.C/
/.,% i - / 9 G p
STRUCTURE USED AS
REFRG BUILD PLUMB . HEAT INSTALL ALTER REPAIR RE ROI F RESIDE M OVI WRECK SIGN
SO BY X ( jI
U
I .LL l 1
Owner Th Address I S� c\ s s t t .
Architect Address /
General Contractor f/» �1G� -. r- Address ' ed.) go ldeti L � 'J
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
N.575 - 5 --- /!> 550
LOT BLOCK / ADDITION OR TRACT
/ 4 ■ '--t--‘2"1 \C r
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, ogreeing 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 /7
- OK'D BY L a