HomeMy WebLinkAboutBP 1977-1284 New Single Family FEE SCHEDULE Permit No. 1 D(' ( I -
CITY BLDG. 'na 09 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE /A 1147 L
BLDG. PERMIT 4$
CITY UTILITY -r —, 6 7 (, G
METRO S AL PLBG. 37S e- APPLICATION FOR PERMIT /° - 1-,
UTILITY CONNECTION / Q G o r-
L Dote ' /62-• 1722
TOTAL AMOUNT DUE ' / i! R
S UCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK sI
SQUARES 1
E
ay X —�� L
Owner
7 4 � `` O,f e - AV/ C Z. Address 1 , 1 6 3 — . ,
Architect Address
S General Contractor d Os"'g C E•rC/ 4n,o ✓ 1> `' Address . 9 g "^ A AA.
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ /i /G Of ' -� '- ‘45-)- TL Gi/ .r,/ -- a r 1 ei r-f->-4.
LOT BLOCK ADDITION OR TRACT
3 1 �(�104--s C 12— ..t 6
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 7 J � rf / % _ji / O ---i. 3 O /
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 - / V,p / Y I /....;Z....4-4,r- 41--.
7q p0 l
Q YES DETAILS OR REMARKS: J
BASEMENT ^ q y—
O NO ✓( t�n.C(.cy rc ;-- (7 x. .Y : .� a r 4.• Lam'
,, i pir21 I Q The • •e • • er T 6 es applicatk f r a p mit to do Building Work as herein specifie agreeing to do all work in strict a cord nc w1
all ordinances of the City of Oak Park H ghts. Contractors must register with the village bef e permit can issued. 5 pl' t1�j
OWNER/CONTRACTOR SIGNE
OK'D BY �`