HomeMy WebLinkAboutME 1974-796 New Single Family FEE SCHEDULE
.� /� Permit No. / q W
VILLAGE BLDG VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r (For Dept. use only)
BLDG. PERMIT a 3,a
VILLAGE UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
Date/ ao 191/
TOTAL AMOUNT DUE � J�
STRUCTURE USED AS
REFRG
BUILD PLUMB. HEA INSTALL HANG
MARK _� ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n
BY X
Owner Address 1(1 0 01 4 1 44
Architect Address
General Contractor 1►_ ..
1 .),&,_. ��! i Address gt � i
� � ,,A 9 5 �n�
Contractor Reg. No. 1
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
[ q cp. \i-v-kag-A- s 4i -'( S
LOT BLOCK ADDITION OR TRACT
4 A. i: 1 ,I L):2 4 ..k. -
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF • IES TYPE OF _ - _ ESTIMATED VALUE
STRUCTURE goo
❑ YES ,' DETAILS OR REMARKS:
O : /n� n.
BASEMENT ❑ NO \5.00 �V1A >< lIS1AJ�._
,zO I
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 -