HomeMy WebLinkAboutPL 1976-1132 New Single Family Permit No.. ` \; (7--, FEE SCHEDULE VILLAGE OF OAK PARK HEIGHTS Plan No.
(ILLAGE BLDG. t _0 0 (For Dept. use only)
;TATE SURCHARGE (,0
BLDG. PERMIT ''SO
J ILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT i .�— — 2-0 ��
METRO S.A.C. L.Lcs)..ker_e,�_� 197
UTILITY CONNECTION 7 3
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
BUILD PLUM
REFRG . ALTER REPAIR RE ROO F RESIDE MOVE WRECK SIGN
MARK
B. HEAT INSTALL.
SQUARES I I ac 11 ii 11 .. -- —
1
I f - Address
Owner vollkwAl )...L�• —. —
Architect Address 4—c.,-X--e— General Contractor ( ka- >ma��- �Q � '` Address c i r 7 l A C
Contractor Reg. No.
NUMBER 1 STREET SIDE BETWEEN WHAT CROSS STREETS
4- 7 1 / g Is ti Si( a Cs.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
'RUCTURE
DETAILS OR REMARKS: I 9�,. , a/, 6'a'
ASEMENT ❑ YES
❑ NO
V C
he undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
II ordinances of the Village of Oak Park Heights. Contractors Wtage before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY -