HomeMy WebLinkAboutPL 1975-936 New Single Family FEE SCHEDULE Permit No. C k 3 b
VILLAGE BLDG. . R= 0 (. VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE • St (For Dept. use only)
BLDG. PERMIT c` A SC)
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION D ] _ 19 LJ
TOTAL AMOUNT DUE t.l� • 0 - -.1.:/I
STRUCTURE USED AS
REFRG . HANG
MARK BUILD PLUM HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I 1
ay l I I
Owner \ C '' C_JL, aJ' Address k k` 1 `� �J.� b
Architect O Address q,�
General Contractor I RO- MCXN., P - . '\& -,Ci Address q1 Lt-) J • -... C.L.�c�.a&
Contractor Reg. No. C \ �� Q l ,yu cS:S -- nI ci
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14-tt% s . tea.
LOT BLOCK ADDITION OR TRACT
5/1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF • IES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT ❑ YES DETAILS OR REMARKS: O
❑ 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.
OWNER /CONTRACTOR SIGNED
OK'D BY - -