HomeMy WebLinkAboutBP 1975-835 New Single Family FEE SCHEDULE Permit No. gall
VILLAGE BLDG. ti VILLAGE OF OAK PARK HEIGHTS Pion No.
STATE SURCHARGE /l.( li (For Dept. use only) I
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG.
METRO S.A.C. —2'COL' APPLICATION FOR PERMIT
7C� � r�
UTILITY CONNECTION Date �. — 4 4 191.
TOTAL .AMOUNT DUE ',C-
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 15I [ l 1 I 7 r 1
�;
Owner M /)cc= 7
Address
Architect —^ Address
General Contractor o) Gt ex.i '5 12 —�it/c. Address .X7 9 e 0 4/4-4.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ 1./// ( / a a,, LOT BLOCK ADDITION OR TRACT
/ / ` )?�C /( c` A >...
WIDTH I DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
9. 1 / 3 J /
LOT 1 » / � v' I 1
WIDTH LENGTH HEIGHT NO. OF STORIES I TYPE OF CONSTRUCTION ESTIIM VALUE
STRUCTURE Z S� V / 'Z / �s2 %c. Z �O / 2'°,
I I _
YES �� a� ?Or DETAILS OR REMARKS:
BASEMENT
44:6 n0
O N O f L i • q.
The undersigf5 d ere y maker ap Iication for perrmitrdo Building Work as herein specified
to do a work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village, ,ore permit c•n issue � �/
OWNER /CONTRACTOR SIGNE• i
OK'D BY