HomeMy WebLinkAboutBP 1973-605 New Single Family FEE SCHEDULE Permit No. 6 Q
VILLAGE BLDG. ‘74;Z• (f1 VILLAGE OF OAK PARK HEIGHTS Plan No.
Q pcj (For Dept. use only)
STATE SURCHARGE` I / -+
BLDG. PERMIT .3
VILLAGE UTILITY
EXTERNAL, PLBG. ,.� P a APPLICATION FOR PERMIT
METRO S.A.C� C//4(7
UTILITY CONNECTION Date 19 7 j
TOTAL AMOUNT DUE A
STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK r 1
SQUARES I
BY X
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Owner 0,1 R"`'� Address
Architect Address
General Contractor 5c-v- (s e--7-z- s izc''_ -L ,^-, c_ Address . J- 9 ? C '11 A' {r`
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
V77Y Di/ 17 L - P .mss va D z b, -C-
LOT BLOCK ADDITION OR TRACT
7 v /7rz �.e- ,c-- e ,..44-4-/
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT er 4( 7" -7 ',/e19/
WIDTH LENGTH HEIG HT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 'Z + ✓ v d `/ / -�i Z/�sg E 2 "j GGO
f K � „ £3 j 2 DETAILS OR REMARKS:
BASEMENT Q E S r , f
NO e"
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 ore permit issue / i / V oiy
7WNER; CONTRACTOR SIGNED ' ' ��/
OK'D BY