HomeMy WebLinkAboutPL 1976-980 New Single Family FEE SCHEDULE Permit No. g%('' LLAGE BLDG. �Q0 VILLAGE OF OAK PARK HEIGHTS Plan No.
C (For Dept. use only)
ATE SURCHARGE /S` ( !�j
.0G. PERMIT ,23-J�d
yr 7s-
LLAGE UTILITY 7
CTERNA4 PLBG. APPLICATION FOR PERMIT
ETRO S.A.C.
rILITY CONNECTION Date / -/9 7 . 19 7 (rr
OTAL AMOUNT DUE 'Q
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SD
QUARES X P1 I U . _
BY X t -� "� "r
wner a- 1 - 2 ` 2-13 ' LU Q. Y" N< e. Address
rchitect Address
eneral Contractor R _ r — \ c - P L t 1 e._ - Address w • 6.1A o. r L k
ontractor Reg. No. ( i r C 1 _, V t ti PS
UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
P/708 461S
.OT BLOCK ADDITION OR TRACT
C 9-M
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
'. UCTURE
❑ YES DETAILS OR REMARKS: i Co o ..,,, e __ _ ,V 1 � -
iEMENT ❑ NO """
t undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit con be issued.
t
OWNER /CONTRACTOR SIGNED
'
J OK'D BY '