HomeMy WebLinkAboutPL 1975-947 New Single Family FEE SCHEDULE Permit No. C l c7
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VILLAGE BLDG. 7. 0 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r
S Q (For Dept. use only)
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BLDG. PERMIT / /•SO
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D ' 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL __ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES . 71{1 ,
BY X
Owner pL- te- -r... Address ( 4-t o Gi 4 — sS I N ' n -
Architect Address
G DI Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 4 tog 4 .1'Z., .0
LOT BLOCK ADDITION OR TRACT
5 1 .L.L.`,0-12. Z .
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS: 1
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stria cordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the vi ge e. re permit • b ' s •.
OWNER /CONTRACTOR SIGNED i
— OK'D BY —