HomeMy WebLinkAboutBP 1975-955 New Single Family FEE SCHEDULE Permit No. q 3-s
VILLAGE BLDG. 1151 "' VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE Pt °�� "'„ ,51Z) (For Dept. use only)
BLDG. PERMIT
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VILLAGE UTILITY
EXTERNAL PLBG. 2 +�
METRO S.A.C. ` r�CS.00) APPLICATION FOR PERMIT
UTILITY CONNECTION Dat f ! ' %' 7...-7 19 7-.
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TOTAL AMOUNT DUE .,.3`. r / so 7. �/`v--
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTAL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
sp ay X ES n n U n n n n a
Owner 5W A- ex, I317... ''r Z, (— Address -17, y.f Q /1/ /4-
Architect Address
General Contractor S,¢ —cr.` Address .rA e"
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
147 .rr J 0M4 0 r41 AAi/4
LOT BLOCK ADDITION OR TRACT
a .2., v25 a G �� r5 /Z- vc J
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT D Y / /;%1" /1 / 3 O /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE ? / VG / / 2 .'" / / .../.727.052./...07 de- A.9 O dO v -
t)rt euici' ta'v° °O DETAILS OR REMARKS:
BASEMENT �' ' ES sGr J 3, f, 2t �, Q'�
Cill 3(- tV ?s
F ru ers
n ig ere ma es • •/• ca '•n id it to do Building Work as herein specified, reefing to do all work in strict accords ce wit
all ordinances o the VI l�f Oak Par Heights. Contractors must register with the village b re permit can b sued. QQ
OWNER /CONTRACTOR SIGNED Al J /4�" ��
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