HomeMy WebLinkAboutBP 1975-956 New Single Family r /'■
FEE SCHEDULE Permit No. C al ,
VILLAGE BLDG. <6 r'= VILLAGE OF OAK PARK HEIGHTS Plan No.
D
STATE SURCHARGE / / (For Dept. use only)
BLDG, PERMIT 411 —
VILLAGE UTILITY
METRO SAA,C LBG. .r' W 1, APPLICATION FOR PERMIT
UTILITY CONNECTION ` Date / ° I' 19 7J
TOTAL AMOUNT DUE 3L 1 s
t 0 4 0
STRUCTURE USED AS
REFRG . HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES _. __ ( I ^ _— —_
BY X U
Owner ' ,' /` NO of r.--d Address
Architect Address
General Contractor 6 d9/L- (SJ -4.c_ Address ,./ 9 ` 4:9' i -,,, fiA-
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/V` ,t - -� 0 0 0/1 A 4 D
LOT BLOCK ADDITION OR TRACT
0 . / SG✓ /4 6 ex-- g,2. s J- �! /t AO .�/
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT p / / / � / S / 3 ,3 / �6
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2- / 4 /4 / / y I ./ y ZZ 00,7 4 — 0
4Jcec `cu o DETAILS OR REMARKS:
BASEMENT YES
to- 3t-- 1115'
T hen �y.0 a /
h r6 ebyi — 'kes pp ica on or a ermit to do Building Work as herein specified, a Bing to do all wor in strict accorda e ith
all ordinances of the Village of Oak g
register Contractors must re ister with the village b
ermit con be i ed. �
OWNER /CONTRACTOR SIGNED 4 ,0 94< "" ....-- .:=31 �w
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