HomeMy WebLinkAboutME 1973-612 New Single Family FEE SCHEDULE Permit No. ____ f.2-I
VILLAGE BLDG. aR 3:1S VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ' (For Dept. use only)
BLDG. PERMIT a -a /J�
VILLAGE UTILITY yr
EXTERNAL PLBG. 1 APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date i Al /02- 192
TOTAL AMOUNT DUE / -CL..%yCCZ./
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
2 SQUARES U U
BY X
Owner G / 7((.e.e�.Q ./1 / /(.-2 v-0.-z:L;( Address /4E-S/ — .m & Jr-
Architect 9 _ Address p / _
c ontractor A _� z l IL L 1_ . _OA Add ress / � z� G - '- �.
Contractor Reg. No. � .Z.-&L- ZZ-c --zU
NUMBER ST ET r S IDE BETWEEN WHAT CROSS STREETS
1 g/ 5- Z 440- ,iele_Liktzo
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 ��,
: 7 DETAILS OR REMARKS: X.�� h paGh2Le1� , G�L�L €v BASEMENT 0 NO / f o- _ /
. .Io �/2 4° // D � z�z.c-- / c-o .r t,, �- //q a c
* Z v
� .G--1 _c, -`
The undersigned hereby makes application for a permit to do Building Work as he in specified, agr I g to do all work in strict a rdance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before rmi n be issued
OWNER/CONTRACTOR SIGNED r. -
OK'D BY ' 7� ° D�r�
•