HomeMy WebLinkAboutPL 1976-982 New Single Family ■•• n
FEE SCHEDULE
Permit No. -lK
VILLAGE BLDG. _r00 VILLAGE OF OAK PARK HEIGHTS Plan No.
S ''4) (For Dept. use only)
STATE SURCHARGE ' �3
BLDG. PERMIT �+ ��
VILLAGE UTILITY *474'73S/
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. / n
UTILITY CONNECTION Date 2 , ..
TOTAL AMOUNT DUE O"/f �'^ 19 «
~ ` R
STRUCTURE USED AS
HANG
BUILD PLUM
REFRG
BB. HEAT INSTALL I A LTER REPAIR RE� F RESIDE MOVE WRECK SIGN
MARK H I (-� I I(�I H
SQUARES —_
BY X '
Owner re, v teo r ,...., Address
Architect Address
General Contractor j s. - "r ��' - Address 9 f - 1--4-- 6 1 . fa°^^ 1 , 14 (2.1
Contractor Reg. No. P. .,,,- 0 P"`N` -e. Yr L .... -.-
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
J iis 7/ ''S
LOT BLOCK ADDITION OR TRACT
-2 Z .-- ),13-6-r-e--. 4 C
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: ib e a "
BASEMENT _
O NO
The undersigned 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 with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY