HomeMy WebLinkAboutBP 1976-1112 New Single Family FEE SCHEDULE �
E Permit No. \ l'
VILLAGE BLDG. as-c, VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE /7 - ' 2 ' ..-----.
BLDG. PERMIT 7 3 C .
VILLAGE UTILITY
EXTERNAL PLBG 3‘.4.) 41,13 APPLICATION FOR PERMIT 9cj r i
METRO S.A.C.
UTILITY CONNECTION [ � Date 7 19 ��
TOTAL. AMOUNT DUE �-` -Corr /`�
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
-
SQUARES
BY X / --
Owner J %=>/� Ai / G'`4i9----;.6 Address �31-11.- .C A h Al, l- £,c�
Architect Address
General Contractor 5 — ( 4 / 14-4-, • -� /'2i1/ Address . sice9 d O r" '`f'
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ \Ifa 1 i ir w - f7 6....
O ✓v► q -►-1,� — s
LOT "" BLOCK ADDITION OR TRACT
/ �G✓iQ - 0 c9L/ i2 r cr c✓ .Y
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
/ LOT /4Q' '' / / :2'' ? - ,,1 - -, f3 / 5c.7
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
iTRUCTURE Z yy 1,--- F/Lf} rrl c- ,r - v 0.7
,,E '1) -' C `n 5\"' CIC DETAILS OR REMARKS:
BASEMENT ' ES �� y� / }�
O NO -�7'-I 4 4 - rU ' ✓ JCL- i.�t/Sz 7 (- ' 7i V = s 77 0 ci.4- ;1.L�.. -1
r 'e le- /3 - IT7 U
' r«9� /ae ` t
The dersi n d reb ma es applicatn fo? to do Building Work as herein specifie agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village ` e e fore per i an be igsued.. . l /
OWNER /CONTRACTOR SIGNED �`'� � J
-- OK'D BY