HomeMy WebLinkAboutBP 1973-633 Storage Builidng FEE SCHEDULE Permit No.
VILLAGE BLDG. ,' 0 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 1.5-0 (For Dept. use only)
BLDG. PERMIT ..rC 4
VILLAGE UTILITY
EXTERNAL. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 1
UTILITY CONNECTION Da a 1913
TOTAL AMOUNT DUE �/1
"tt77 STE USED A
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
i x i
SQUARES
BY X U
Owner ( LrCQ Address 14a a 4-- 6 L 1 a.
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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 ` \L S 6 a "
DETAILS OR REMARKS:
❑ YES I1�� ,� „.,, _`
BASEMENT 11.......
❑ NO l h IC l if
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 ... ' ,... _../ ,