HomeMy WebLinkAboutBP 1975-944 New Single Family n
FEE SCHEDULE A 2/ Permit No. q 44
VILLAGE BLDG. he- -. VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE / L
BLDG. PERMIT 7 4 .2E
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. !
UTILITY CONNECTION G ,/ Date e / • ,. / 1 1( 7 . 7 ;
7
TOTAL AMOUNT DUE q 1 / /
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE H WRECK I SIGN • ri
SQUARES I
BY X _� U U U
7f� �!,�i� i 2 % '7 a A ‘
‘ 4 7/ ;.7,(..7 - O wner K7L/A../ E / Address
Architect Address
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General Contractor .1 w �- n. j Address ✓r 9. L An-r4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
CV- 7 / �. J 0 NI ,+--,t_ - 9- il? 04 h'/4--
LOT BLOCK ADDITION OR TRACT
3 Of Gtc,../ r e 9 5 }5 2v.f ,"-�
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 0 Y / 3 ,) � /� / 2/ / 3 o /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / '—
0 YES DETAILS OR REMARKS:
BASEMENT O
NO
7,c�'�e� l -1 S - /77,>
The Jc(ifk� 9 Y d� h e b t. 4 a s cat f a pe it to do Building Work as herein specifie j •greeing to do all ork in strict co dance ith
j
all ordinances of the Vill a o f Oak Park H Contractors must register with the will ore permit c•n b sued �� � ,Z
1WNER /CONTRACTOR SIG
OK'D BY --