HomeMy WebLinkAboutBP 1978-1460 New Single Family FEE SCHEDULE Permit No. Iq.IQc
CITY BLDG. /34.` CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
(For Dept. use only)
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BLDG. PERMIT (j
CITY UTILITY •+x- / - 8
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EXTERNAI. PLBG. �+y� APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION 3_1*±,_= b3 Date 197
TOTAL AMOUNT DUE Q�I
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PLUMB. HEAT INSTALL
MARK r��—/� ^ i I t l I I i
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SQUARES 1 i I I ` J
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Owner Address
Architect Address
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General Contractor ✓ —.---- Address /
Contractor Reg. No.
NUMBER STREET SIDE 1 BETWEEN WHAT CROSS STREETS
LOT 1 BLOCK ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
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LOT $ I / / Z4 / / m /d ` 3O
WIDTH LENGTH HEIGHT INQOFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z V.:4 / v I / / 3 / Q00 Pi
DETAILS OR REMARKS:
7 YES
BASEMENT _ D
The undersigned hereby makes application for a permit to do Building Work as herein specifies, agreeing to do all work in strict accord ce.9
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all Ordinances of the City of Oak Park Heights. Contractors must register with the village bef• a permit can a issued. /
OWNER 'CONTRACTOR SIGNED ,
OK'D BY ^ , L4 13"..-
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