HomeMy WebLinkAboutPL 1976-1082 New Single Family ■�
Permit No. /Q /f
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
VILLAGE BLDG. O�d (For Dept. use only)
STATE SURCHARGE thv �,
BLDG. PERMIT "� *" ` � C
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT q a ��
METRO S.A.C.
UTILITY CONNECTION e
.L....L.1.4....„...j TOTAL AMOUNT DUE A A ..C—
STRUCTURE USED AS
REFRG HANG
BUILD PLU R R
HEAT INSTALL __
SQUARES ALTER REPAIR RESIDE MOVE WRECK a
MARK I n n u
BY X - .
1 l� i , J
` `� Address \ 's () 1 —" S T`� h '
Owner _ —
Architect Address
General Contractor 9 4— m K� R \ . TY/ r, Address c' -v 6- eze ", ^ . ' -e ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 Ll �� l 45.5 //! _ 9 —
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT MEI
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: .
�j ( 13. 4)
❑ YES _ ! .�t t ./.1<" BASEMENT ❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befo? permit a n ,. k: irsuad
OWNER /CONTRACTOR SIGNED 4--t-
OK'D BY ,