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HomeMy WebLinkAboutME 1973-603 New Single Family r-1 �\ • FEE SCHEDULE Permit No. `V VILLAGE BLDG. �3 •IS VILLAGE OF OAK PARK HEIGHTS Plan No. Q (For Dept. use only) STATE SURCHARGE r n) BLDG. PERMIT t7C VILLAGE UTILITY EXTERNAL PLBG. APPLICATION FOR PERMIT METRO S.A.C. UTILITY CONNECTION Date _.-6 - � ' 0 19 7 TOTAL AMOUNT DUE / /ee<L- 2-f! 'e_.( STRUCTURE USED AS REFRG. HANG MARK BUILD PLUME. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN SQUARES X LJ BY X Owner - 1 -- 2' 4 ,t.. Address / — .S3 /12 St .Architect Address A l Contractor �- ° -.A -LG'` - ed • 't' , Address _ (, / 7 ,/...--,z.- / -f" 0 Xer Contractor Reg. No. NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS PM 7 s.� 1 4, , LOT BLOCK ADDITION OR TRACT WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE LOT WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE STRUCTURE 2 BASEMENT , YES /, .71 DETAILS OR REMARKS: Z. 6 /2- & --��© ` �� 0 NO 1 *--0 - J : 7�- 2yL�LL''"(� eu YC1LC•e• • (ii c i O 0 0 L` c l G 9 The undersigned hereby makes application for a permit to do Building Work as herein specified, agree to • • all work in strict acco ance with all ordinances of the Village of Oak Park Heights. Contractors must register with the village befor � it •n be issued. / OWNER /CONTRACTOR SIGNED . £ qq ' �- - - OK'D BY ' l CA,GU�4