HomeMy WebLinkAboutBP 1976-1028 New Single Family FEE SCHEDULE Permit No.
VILLAGE BLDG. ''"
T 7-- VILLAGE OF OAK PARK HEIGHTS Plan No.
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STATE SURCHARGE /it -(? -t �, `_
BLDG. PERMIT J 1_7+
VILLAGE UTILITY /..fr .
T LBG.
METRO S.A.C. S.A APPLICATION FOR PERMIT
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ME
UTILITY CONNECTION S Date 19 7
TOTAL AMOUNT DUE , __ --
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES DE ^— —r __ I[_] U Fl
BY X
Owner r✓/3 . 4�✓.✓rC �v l�' C K- 4 ✓, 4(» -4.
Add ress �
Architect Address
General Contractor ° 4174-6 1 /Z- (' --1- c----- Address ..Fr- 'P 0 rI-) .4 '4,4
Contractor Reg. No.
NUMBER ST [ SIDE BETWEEN WHAT CROSS STREETS
1 `� 2 t�/ ✓ S= eJ v �' a !'1/1 R EL , F
LOT BLOCK ADDITION OR TRACT
/ ,St",/,,- 6. c -"�,-- re /7- — J ,7
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / 3 4 'r / 7(' ')/,) ' �O
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
'RUCTURE 7/ (, Y / 7 / c 79 9
t-c " 9" 3 ?6 6 DETAILS OR REMARKS:
aSEMENT YES ((��
o NO Ciekp 1 K,5' 0—
) 1 -,?4 1477.
le '' ke d G si e by a es applic ion r a7permit to do Building Work as herein specifie agreeing to do all work in st ict a cord ce with
I ordinances of the Village of Oak Park Heights. Contractors must register with the village fore pet c9/be issygd. nV (
OWNER /CONTRACTOR SIGNED v j
OK'D BY