HomeMy WebLinkAboutPL 1977-1145 New Single Family FEE SCHEDULE Permit No. 114S
VILLAGE BLDG. A I.00 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t S (For Dept. use only)
BLDG. PERMIT C-t` a.)
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT 1 - ' a = - l7
METRO S.A.C.
UTILITY CONNECTION Da / d . 1V
TOTAL AMOUNT DUE ti
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN SQUARES I I ^I
BY X f
Owner ZN Address ` Lk 4. ■ ) --i- �`f-� , I 1 I -- •
Architect \ e Addres )--,-
General Contractor RA IVR L i cy \ c . Address ci ' 7 r $ N. (: -<. 1 - l i' Pel
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
t ! L l l Q■ : ► ' ✓ 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
7RUCTURE
p YES DETAILS OR REMARKS: t
r7.-7.."1.2_44...t..,.4.7...-1 4SEMENT O
NO
L/, <°
he undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
I ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY -