HomeMy WebLinkAboutME 1975-847 New Single Family FEE SCHEDULE Permit No. _ g
6.1.2.=_...“-) VILLAGE OF OAK PARK HEIGHTS Plan No.
VILLAGE BLDG. c � (For Dept. use only)
STATE SURCHARGE '�
BLDG. PERMIT OS : 6 A
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 1921
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TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. ('iEA � INSTALL �L __ ALTER REPAIR REROOF RESIDE M WRECK SIGN
MARK I
SQUARES
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/S Address / (7 f ��
Owner 7
Address
rchite_ ct /)
` SA • Address d / < foZ (`- ...er-� dUn'- 71'
Contractor OM' � - �'��� .. �
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
g19 sr-C- g
LOT BLOCK
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 sv Cit /ti D TAILS OR REMARKS: I - H-17 3 - cfY
BASEMENT � YES / r/). m v / g.. `'
The undersigned hereby makes application for a permit to do Building Work as herein specified, agree' g to do all work in strict a ordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village b re mit •n be issu --
"WIINER /CONTRACTOR SIGNED — .A.er L �
OK'D BY ,--bsl1' or P / r