HomeMy WebLinkAboutBP 1976-1116 New Single Family FEE SCHEDULE Permit No. t t ,tL)
VILLAGE BLDG. 4 61=' VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE j•
BLDG. PERMIT 7/
VILLAGE UTILITY
EXTERNAL PLBG. 7 � 0o
METRO S.A.C. J APPLICATION FOR PERMIT
UTILITY CONNECTION / \ Da e / d 19 V
TOTAL AMOUNT DUE ` ` a PA iyC- e)
' ' ' STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY XES X `_ � l U El
j�
Owner A 4 .8 6�> �'--A 7 Address
Architect - Address
Genera I Contractor c ''9-G .-Lti Address `��R. 0 ,-)f to /c .o..
Contractor Reg. No.
NUMBER 1i �i _ 1 �0 " STREETS^ ,9-,9-,c., SIDE BETWEEN WHAT CROSS STREETS
V 1/ Z L..j ( � d ; . G✓ 0 N1 -.0 v¢ J7
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 6 3 /1 / 3v7 /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 3 -11-/ / 7i / c- 3.17 v ---
(Jed Wct- -aa! 35 cr' ' OR REMARKS: c` ,� �,� e �. X 4( C
BASEMENT
0 YY S , J
Q w 5— r Z�
n � �
The and signed hereby ake ap c per 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 ore pet c e issu i f_ /_/
OWNER /CONTRACTOR SIGNED
OK'D BY