HomeMy WebLinkAboutPL 1976-1090 New Single Family Permit No. �O�o
FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
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VILLAGE BLDG. (For Dept. use only)
STATE SURCHARGE t _D
BLDG. PERMIT I S .a)
VILLAGE UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. D �q_
UTILITY CONNECTION C
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG l ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN IT MARK BUILD PLU B. HEAT INSTALL 1 ._ Li [
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BY X SQUARES
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Owner Address l L k q ), 0�-' z+)1.
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Architect _ Address
General Contractor \ - - ' \ M � . C i k \I'L O -. A . Address
Contractor Reg. No.
NUMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
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6‘ /( 57`
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH 1 LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
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DETAILS OR REMARKS:
.
BASEMENT 0 YES
p NO 72-Q-AA---"C"4--Iii
The undersigned hereby makes application for a 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 before permit can be issued.
- OWNER /CONTRACTOR SIGNED
OK'D BY