HomeMy WebLinkAboutPL 1976-1088 New Single Family FEE SCHEDULE Permit No. /627
VILLAGE BLDG. 1 c .oc VILLAGE OF OAK PARK HEIGHTS Plan No.
L SD (For Dept. use only)
STATE SURCHARGE ' (^�
BLDG. PERMIT IS `S.-0 gQ
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. J
UTILITY CONNECTION D �1�6
TOTAL AMOUNT DUE -� ��l.W
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLU B. HEAT ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ UAR ES n n n n n n —
Owner `et Q - 8-4-0----4 i Address I 4-4
— �7 --C' .
Architect Address n n
General Contractor i _`1jn 4 - F� , •._ Address . 17 i J � J La 't. I` '
qg
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
q 36/7 -Adt: ,
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
DETAILS OR REMARKS: 5 a, 1 A ; iq, 54) BASEMENT ❑ YES
❑ NO
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 before permit can be issued.
OWNER /CONTRACTOR SIGNED
OK'D BY