HomeMy WebLinkAboutPL 1976-1010 New Single Family •
FEE SCHEDULE Permit No. /d /a
ILLAGE BLDG. eQ ' .CEO VILLAGE OF OAK PARK HEIGHTS Plan No.
TATE SURCHARGE
(For Dept. use only)
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LDG. PERMIT �a .
SO Y.� r 77 `
ILLAGE UTILITY
XTERNA4 PLBG. APPLICATION FOR PERMIT
ETRO S.A.C. �/ r�
TILITY CONNECTION Da l/ '^� la
OTAL AMOUNT DUE V Ct-f`1 CliJl1 .C..-I
STRUCTURE USED AS
REFRG. HANG
M BUILD P HEAT INSTALL ALTER REPAIR RE� F RESIDE MOVE WRECK SIGN
Q U A R E S I ^ I ^I I ^ I 1 ^ J I
wner t t K rr. Address t ` We 6 -411 -\ -'..
rchitect Address
eneral Contractor R 4 -- M O� Yr Address q ? (..r) 4:re4 - 1 4 n, Lop, k RI
ontractor Reg. No. r. L vG I, T ` `0l a. c, �y-.. 1'"‘. "\"
UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.OT BLOCK ADDITION OR TRACT
C LI0k
WIDTH DEPTH Q SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
UCTURE
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0 YES DETAILS OR REMARKS: 1 6 n .A 01 � o3, 5 e'
EMENT D NO 1 '
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undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with 3
ordinances of the Village of Oak Park Heights. Contractors must register with the village b perm OWNER /CONTRACTOR SIGNED —
OK'D BY