HomeMy WebLinkAboutPL 1976-1013 New Single Family FEE SCHEDULE Permit No. /6
.LAGS BLDG. �• o 0 VILLAGE OF OAK PARK HEIGHTS Plan No.
S (For Dept. use only)
ATE SURCHARGE r �3 . yf Pe y
.DG. PERMIT � -7 YO
LLAGE UTILITY
:TERNA6 PLBG. APPLICATION FOR PERMIT
:TRO S.A.G.
'ILITY CONNECTION Date 1 -' ' 19
)TAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG
BUILD PLUMB. HEAT INSTALL _, ALTER REPAIR RE ROOF F RESIDE MOVE WRECK SIGN
MARK 1 I rr-y ^ 1 1 .
)UARES � \ I H
BY X
vner I)\n U C ' .. Address i 4 2 ' 5 'S =
chitect Address
:neral Contractor 9 A - 1 ln � L bd,. Address C1 C -i Cs- c l" d 'e— (1„, K `a,
Dntractor Reg. No. G kv f G (r. -e.- s ; ' t, ✓t Vl
JMBER STREET SIDE BETWEEN WHAT CROSS STREETS
7/ � PA .\ •
OT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQOFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
UCTURE
DETAILS OR REMARKS:
0 YES ) O 61 A I h 13, S e
EMENT O NO 11
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 can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY _