HomeMy WebLinkAboutME 1974-815 New Single Family FEE SCHEDULE Permit No. C A I
VILLAGE BLDG. ORoQ-NSQ VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE i
(For Dept. use only)
BLDG. PERMIT cp13 Ov
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �--
UTILITY CONNECTION Date ('t ' 19 W
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEA INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I
BY X 1 1
Owner A -.4E1-'2 . . _' J „ it._.e Address /6432 e. %l .r Si
A hitect / Address /
Contractor �i� _�.._..,, _.�� 4
� •"L. , Address /92- a - - 76.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
(
LOT B OCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
V / u , C Z L' DETAILS OR REMARKS: � 1 2- _-
0 NO .J ! •
,-..c3 ca /
e._ � � 0 00` •
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreei to d- all work in strict acc with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before p it c be issued i
^WNER /CONTRACTOR SIGNED 7 /�,..Z a •
OK' D BY -- /-! / �GG // 71//. t. . YE7 fl.