HomeMy WebLinkAboutBP 1973-650 New Single Family FEE SCHEDULE Permit No. 4O.6
VILLAGE BLDG. ', OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE n
(For Dept. use only)
BLDG. PERMIT '10.77
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. UTILITY CONNECTION Pl- Date . % 19 TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
RES
SQUA 1
B x
I U U
Owner ,q c- A-- EiZ 6 /
/t %Lc c
Address
Architect Address
General Contractor c ✓ 1" 51 'C; c' 2O✓ - c Address `/ - .' r 0' "'I'4 %` >-r
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
yrv,; a "o sz y .„---v„ c2,/? L77-1/4_, - D�,��
LOT BLOCK ADDITION OR TRACT
/ (2 / Or l/i/ /1 [i F 1, Z 0.1 ✓ 7 1 2-2
ti_
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 9.a /J f 7 J 3
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE - (o J c / Y= Z y 000 --- �9�c
a k. 1 as- Z- DETAILS OR REMARKS:
BASEMENT YES AVE
Q NO
The undersigned of hereby makes application for permit to do Building Work herein i a m to do
Gf °�' work strict accordance i
all ordinances of the Village of Oak k Park Heights. Con
ts. Contractorr with must register with the villsla• - •ef ore re perrmi t sue c be is j � Gj /
OWNER /CONTRACTOR SIGN J
1/ `
OK'D BY