HomeMy WebLinkAboutBP 1976-1129 New Single Family r%\
FEE SCHEDULE
Permit No. ' `
VILLAGE BLDG. 9 _e_-° VILLAGE OF OAK PARK HEIGHTS Plan No.
C6 'er (For Dept. use only)
STATE SURCHARGE - AI
BLDG. PERMIT /■1nZ �O
VILLAGE UTILITY d /
EXTERNAL PLBG. �-3" APPLICATION FOR PERMIT ' i3
METRO S.A.C. q/ / [ 1
UTILITY CONNECTION 42 /' Date / 17 .7
•
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUM HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES t j I I f fl
BY X •/\ U _ -
Owner ��` m c�L Address 9 f I -G ,„ ,0 -4
Architect _ Address
General Contractor
W A E — ' <iz 0 ✓ — 1 - 7 , -" C--Address ` f f J• oft ,-i4
Contractor Reg. No.
NUMBER ' • _ � SIDE BETWEEN WHAT CROSS STREETS
/
7 30y 1 I✓ g_ /I A/ ,rr — 0 1 i*CL
LOT BLOCK ADDITION OR TRACT
/ t/ / w •#?0 - AC 0- -' - ' ei g
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / 3.J % 7 3 V - 3 .0. V /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 7if' 2 4 Z.... f� /Z 4, r
DETAILS OR REMARKS:
/747 -
BASEMENT YES
/
Q NO
A ir -v- tS �� v ft' 1 .'t - / 4 74 /
The J ersfg 8 Ier y ma s i�catio f or a { to do Building Work as herein specifie• greeing to do all work in strict accord nce ith
all ordinances of the Village of Oak Park Heights. Contractors must register with the villa! _• • _ • - ,it ca i su .
OWNER /CONTRACTOR SIG •
OK'D BY -