HomeMy WebLinkAboutPL 1973-660 New Single Family FEE SCHEDULE Permit No. 134,
VILLAGE BLDG. — 1 . -0'd VILLAGE OF OAK PARK HEIGHTS Plan No.
' . (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT r -23•J
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Dat 19
TOTAL AMOUNT DUE 1
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLU B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I I I I I U
BY X t t III 1111
Owner a p Address 1 `} •S% — 5 1 tC `- . '
Architect
Address
► '
Generai-Contractor \ -- _- t! . ......_. Address 3 4 4 v �� -3r-`"'
•
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 ass 0— • 2.
LOT - BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: I b
BASEMENT
Q NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do I w rk in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village e m't i
OWNER /CONTRACTOR SIGNED
OK'D BY