HomeMy WebLinkAboutME 1975-911 New Single Family FEE SCHEDULE Permit No. % //
VILLAGE BLDG. 4:=772.:J t' VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE i_ O ' J 1
(For Dept. use only)
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION fOR PERMIT
METRO S.A.C. /
UTILITY CONNECTION Date ; - 1 97•
TOTAL AMOUNT DUE / _,- _ "
` .
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. H INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I p41 I 1 fl I I _—
BY X U U U U
Owner ✓1-6.,- (.�. (',� Addr / +�G [/�'�' ` c, ( .
Arch itect
le Address � Contractor ;I _� !�. Address I
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS •
fegoy 'FA
LOT OCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
-7` 3—.6 D S OR REMARKS: 7
BASEMENT YES l , d-z �/ / �/� C�3 ��
0 NO , >•a /
A lt i.../. /� _ . L �i L.A_�
o r '�
I ................._ - r - f 2 4. 4 2 - a .e... - - e_. . e_
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr -ein t do all work in strict* ordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before I• - m 'an be issue• /
nWNER /CONTRACTOR SIGNED l, ` '
"V .l 4 j '
OK'D BY / - ./.ii tjh.i .687