HomeMy WebLinkAboutBP 1976-1055 New Single Family FEE SCHEDULE Permit No. 10 SS
VILLAGE S
BLDG. ' S° VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE !' °l '—�
� -�� (For Dept. use only)
BLDG. PERMIT Pt .� '
VILLAGE UTILITY
EXTERNL
METRO SAA.0 LBG. p0 APPLICATION FOR PERMIT "7//0
UTILITY CONNECTION Date ��
4°L1 S� 19
TOTAL AMOUNT DUE J
STRUCTURE USED AS
REFRG
9 RX
BUILD PLUM 1 B. HEAT IN STA IL 1 ALTER REPAIR RE ROOF RESIDE MOVE WRECK SIGN
SQUARES `f^JI Ifl 1 1 n E 0
Owner ., Gc/! -G nv 'a/2,7 1 —1---v _ Address ✓ , rr A.Al .59
Architect Address
General Contractor Address
'Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
vv--7 r''
LOT BLOCK ADDITION OR TRACT
3- 7.--' c A-(y Win/ 4a, ,..
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 8o i 3 / , g — , 3d
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 (7‘<,
/ A , :fF 7 ' 1 Opp
BASEMENT YES
N`�6y � rtbz ` n o co DETAILS OR REMARKS:
a-.1- (
r un er h eb m kes a li a'
g y� c t�onAfor a pe it to do Building Work as herein specified reefing to do all work in strict a cords ce 'th
oII ordinances of the Village of Oak Park Heights. Contractors must register with the village ore permit ca issue
OWNER /CONTRACTOR SIGNE !G.
OK'D BY