HomeMy WebLinkAboutBP 1974-723 Partial Basement Additon FEE SCHEDULE
Permit No. `1 3
VILLAGE BLDG. ci , 0-6 VILLAGE OF OAK PARK HEIGHTS Plan No.
Q (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY /E/ D
EXTERNAL PLBG. / 6 APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION , � fat 7
19
TOTAL AMOUNT DUE
,� ) STRUCTURE USED AS
REFRG. �C.W✓ HANG
MARK BUILD PLUMB. HEAT INSTALL / ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n ' I� / 1T[ \
BY X -
Owner ` aL Address 1 4 \ I — 5 Lo
Architect Address
General Contractor �' * , -A • Q Address ' v
Contractor Reg. No. , 1
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
15 6(15-tih 4,_,. nJ.
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 boo O
0 YES DETAILS OR REMARKS: N( .131. 1 .-. 1 ) A L
BASEMENT
0 NO 12-2,,--A--k., ,J
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 bore permit can )e ssued.
/
OWNER /CONTRACTOR SIGNED ° « , ( �
OK'D BY /