HomeMy WebLinkAboutBP 1975-946 New Single Family FEE SCHEDULE Permit No. 4-1p
VILLAGE BLDG. 4/7 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE � �j S _ �/ e (For Dept. use only)
BLDG. PERMIT /!J Sf� 7,7
VILLAGE UTILITY
METRO SAA.0 PLBG. - _ APPLICATION FOR PERMIT 1(!) UTILITY CONNECTION GG�� ty Da,t �O 1 -V
TOTAL AMOUNT DUE .5t.. `= � )C_ 1�
STRUCTURE USED AS
REFRG . HANG
SQB YRES
MARK
BY X BU PL UMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
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I 11 I I L_Jf ,
Owner Q /V M ,e,/C LC'C Address,a6 7 C Yrt A 1' 1-'0 /✓ 14X y,+
Architect ----.--- Address --.0
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/fG 9, s--s— TIC ,r77 Al o . /4 Z
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE A) A Q F R SIDE LOT �� CLEARANCE A �� � � RONT BUILDING LINE
LOT `J
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF • • ESTIMATED VALUE
STRUCTURE / // 40/v, N
/ /� / C /
.2C 0 0 8 / •A. e ee rz.
VacLa ok. 4 ) 7, b 0v DETAILS OR REMARKS: J
BASEMENT YES NO 0
lir '� � ��L�J /-fit '� 4.5.7
r L .5 — V
The ders hereby es a lic atio�/ for a permit do Building Work as herein specified, agreeing I
9 y LA P P 9 P 9 eeing to do all work in strict acc rdance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the vill re p ermit can be • u .
OWNER /CONTRACTOR SIGNED "v
OK'D BY