HomeMy WebLinkAboutBP 1974-762 New Single Family FEE SCHEDULE Permit No. - - --
VILLAGE BLDG. 33 VILLAGE OF OAK PARK HEIGHTS Plan No.
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(For Dept. use only)
STATE SURCHARGE / a � .Z G.t
BLDG. PERMIT 14.5•
VILLAGE UTILITY ■
EXTERNAL PLBG. —mod fa APPLICATION FOR PERMIT '' e. '�
METRO S.A.C. r� �J/
UTILITY CONNECTION Date 7ii�� 19 % /'
TOTAL AMOUNT DUE v
STRUCTURE USED AS
REFRG. HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X /\ n H fl
Owner e 7 : 4 '✓ /74 D -../ e" >'7 Address f / 9 7 ' 4./ ct 4 � .9y fl./ A /
Architect Address
General Contractor .5
VV/4-k& 13 z0s Td,. e. Address ✓ Sf 1,i-i A ll -4.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ 4i14 0 1 ' — -r,r y? /44 /JCvPD , 2 v
LOT BLOCK BLOCK / / ADDITION OR TRACT
l�E� /c LLB" / ,cfie
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 10 / 3 O /O 5 l
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z 5( VO / � 5 L p
BASEMENT
BYES } 0 �� 77 DETAILS OR REMARKS:
0 NO 7
1 4 d ■‘ ' 23/7,Z
The undersigned hereby makes application for a permit to do Building Work as herein specified, a mg to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village ermit can be i sue .
OWNER /CONTRACTOR SIGN
- OK'D —