HomeMy WebLinkAboutME 1973-627 New Single Family FEE SCHEDULE
Permit No. 6
VILLAGE BLDG. O y-7 -6. --° VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ' • S--Q (For Dept. use only)
BLDG. PERMIT 0 . /�
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. �J
UTILITY CONNECTION Date 0.4 (. � / 19 7
TOTAL AMOUNT DUE / f
'Le -C_P_i
STRUCTURE USED AS
REFRG. HANG
MARK BUILD P HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1 _� Ll —
BY X l
%. -OIL /�i" ,.." `-� Address /'�7 - S , i j' E-
Owner 3 7 � -
.
g Address �Q ` , aZt , L' / -,mow
G � � /� (l- =� ate. 76.
ontractor �+ %'r�'1. � _ Address 9-,
Contractor Reg. No. `��'o..&L 272_,-;,,,...
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/41 7 -53-- # .S-/
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 Iif
vv 1
�' _o DETAILS OR REMARKS: �/ /�� ,
At BASEMENT YES is; �.
0 NO .. o (-si /`L 172 — e2 441-11.-121-0-441 .4G� — I ' 24. 2 /-
g . CO da a �(� .�G22�Ltc..I'
The undersigned hereby makes application for a permit to do Building Work as herein specified, ogre ' 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 before rmif a n be issued.—
r)WNER /CONTR ACT OR SIGNED - CiCe4.172 .GA,
OK'D BY agiLG41
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