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FEE SCHEDULE Permit No. t5
VILLAGE BLDG. cilin VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE V
BLDG. PERMIT 3t11417
VILLAGE UTILITY
METRO SAA,C LBG. '&. • RR APPLICATION FOR PERMIT // 7
UTILITY CONNECTION Date v 17
TOTAL AMOUNT DUE .43--
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES / _— `r I , _
BY X U 1 11
// ' v/S E/ri /..vd 7-d' 2 �G i iv 49n
Owner Address .
Architect Address
General Contractor 5 V'" h e - ' � J - ' - r - Z v - Address a ' 4' ie9,1/.1 >,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/t/g3 7 y / , ‘ " - x-- s--- o F, ' O 1 Cr, opt .7,s,-
LOT BLOCK ADDITION OR TRACT
f `lam !-rL c t_ C ,#'l ,
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT r 7 / 3, Z 3 - Y _ ,36,
WIDTH ' LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
Z '
STRUCTURE f- J fi / Z ��c • Z Qt712
BASEMENT
EKES 1 ,, 4 ' 1 '� 1(9/(015 DETAILS OR REMARKS:
❑ NO I
The undersigned hereby makes application for o 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 fore permit can be ' sued.
OWNER/CONTRACTOR SIGNEE�
O K' D BY ��//