HomeMy WebLinkAboutPL 1976-1084 New Single Family Permit No. / ,
FEE
SCHEDULE - VILLAGE OF OAK PARK HEIGH Plan No.
VILLAGE BLDG. 1 `w (For Dept. use only)
STATE SURCHARGE E - �� ,,,/
BLDG. PERMIT 1SS`a g
VILLAGE UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C. c�
UTILITY CONNECTION t
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK BUILD PLU B. HEAT INSTALL U
SQUARES n n �- El
BY X
Owner "1.4 1 '._.
L.).--ayo, Address 1 a (-V47 V-4- --6N s i"k 11 '
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
—jai/ `2
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
x2 -6 15,
DETAILS OR REMARKS: n n -t>a�
❑ YES ‘ �KW-t 47
BASEMENT ❑ NO
The u ndersigned 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 Wtage before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'DBY