HomeMy WebLinkAboutME 1973-626 New Single Family FEE SCHEDULE Permit No. 6°�
VILLAGE BLDG. a,3 • ! S VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE i 4-b (For Dept. use only)
BLDG. PERMIT tEELY21 p)
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 1
UTILITY CONNECTION Date 'L , 2', 19 r1
TOTAL AMOUNT DUE / i .
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN I 1 X I I LI
SQ BY XES I
Pc
Owner 471- Af—c-ce Address /T 7 - 73----- Ss f
Ar h itect i Address &`2f /, Ld ` 6
Ar �� it-- LCL r , Address / / 9 7 l %�� &r Z, .
Contractor Reg. No. L. --iL t / G ` - "``'
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ �--q f�
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE c°
YES
7 ,
DETAILS OR REMARKS: , i� -, ` v
BASEMENT 0 NO 1 ,Si ao
l • 1 1Q 3 — //D -i-t.74- pc/ -ec i
7 /lo O itio/c Gr-k
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr gin to do all work in stri accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befor er ' can be is
OWNER /CONTRACTOR SIGNED ! j 1 7! /�i -
OK'D BY _. � .. ■ . ���i- it��