HomeMy WebLinkAboutBP 1976-1071 New Single Family FEE SCHEDULE Permit No.. /0'7
VILLAGE BLDG. fr: VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE f N
____Le Ca
BLDG. PERMIT
��,
VILLAGE UTILITY
EXTERNAL PLBG.
METRO S.A.C. ��L/ '�,��]� p0 bi
APPLICATION FOR PERMIT g
UTILITY CONNECTION Date / ��Jt 17 2�
�
TOTAL AMOUNT DUE .
STRUCTURE USED AS
REFRG. HANG
MARK BF4.
BUILD PLUMB. HEAT INSTALL A� U R R EPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ^_ -^ U --�
BY X __ __
Owner
/c"/c C2-4-aie/e.)1 Address
Architect . Address
General Contractor 0.5 wi9- eCi W/z-- `` Address ,7 9 / d rh 4 14-4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
' sie 1 14 S6 C„ /L. • 111<a
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
/ '`
LOT ./ / 3 / / 2 -- ,..• 3 6
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION , ESTIMATED VALUE
�! p� J
TRUCTURE 24e G d / Y / i " Z/5�'�l �4 C�OC ��
DETAILS OR REMARKS:
BASEMEN /.O i 4
_ 6 1,c -- /$Z6
! 3/d I,C ion or a� it to do Building Work as herein specified, reefing t i
do all work in strict accorda ce wi h
111 1 1 1 n e ordinances ne here ll make pp
r
i es of the illage of Oak Park Heights. Contractors must register with the village b re permit ce s /. L %�s�
OWNER /CONTRACTOR SIGNED (�(/f
'
OK'D BY