HomeMy WebLinkAboutPL 1975-856 New Single Family r-..,
Permit No. g
',..),,.•01:::0 FEE SCHEDULE Plan N
VILLAGE BLDG. ',..),,.•01:::0 OF OAK PARK HEIGHTS
`� (For Dept. use only)
STATE SURCHARGE t:R3.-0
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A,C.
UTILITY CONNECTION Date ` ,�yi-
--)..., 19 J
TOTAL AMOUNT DUE • ` `C0 4,4.-C i J
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK � SIGN
--
MARK •'7�y� -
SQUARES I I g H
BY X •
�--� n_ }t.Q -, Address I T %e - 1 Q S&i j1
Owner V �'"`� `~� � - L
Architect Address ;— ,
Genere1•Contractor I\ ( ' •�— — Address 1 ■ , = J - '�'' // °'
/ . i • "5Z
Contractor Reg. No. _
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
CLAN -. :. -, c1k 0 • •
LOT = 0 K ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CL • -ANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: I lb
❑ YES �
BASEMENT ❑ NO
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 before permit can be issued.
nWNER /CONTRACTOR SIGNED
OK'D B
•