HomeMy WebLinkAboutBP 1976-978 New Single Family '
Permit No. -/ IV
FEE SCHEDULE
.AGE BLDG. y7 v-'- VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
rE SURCHARGE 3 'L'
G. PERMIT ✓ - '� ? //\`
_AGE UTILITY V 4" V
ERNA4 PLBG. . / 6
RO S.A.C. 3 S Ot Q0 APPLICATION FOR PE RMIT , ,.
LITY CONNECTION Date ' "' �` 19 -7 L
'AL AMOUNT DUE
iii V' V° ,
STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
ARK
TARES e�
IY X --
Ier
24,-7-- Address f / i A/ _ )2_.f.; 7
hitect Address
eral Contractor v vJ" e &d dress ✓ / C y ��L.-s - /
i
tractor Reg. No.
IBER STREET SIDE BETWEEN WHAT CROSS STREETS
r BLOCK • ADDITION OR TRACT
/ / ✓ A--,C...4../ ®'L� -o .l
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
i
OT 7V /3 z / -- 30
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
;TUBE 2 7L y T/ / Y / �i Z _ 7- Z %o9 -----
YES 4 F/a- h^ 0 FU v DETAILS OR REMARKS: 0. p_ey- o•,,,A . d
,ENT �
Ste° , = / „ y u� r g 13 L %I.JJ ui` aL . , gall
f, eg 1 ^ 141,._ / I
dersigned"Re by� applicat'�n or a ermit to do Building Work as herein specified,�agreeing to do all work in strict accordant with
finances of the Village of Oak Park Heights. Contractors must register with the village byf'ore permit can. issue }- � O
OWNER /CONTRACTOR SIGNED
OK'D BY
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