HomeMy WebLinkAboutBP 1973-585 New Single Family FEE SCHEDULE Permit No. I
VILLAGE BLDG. : VILLAGE OF OAK PARK HEIGHTS Plan No.
t�� (For Dept. use only i
STATE SURCHARGE V /j _ . ��
BLDG. PERMIT 'lil*5
VILLAGE UTILITY
METRO SAA,C LBG cZ� Sa,a P N APPLICATION FOR PERMIT ,
UTILITY CONNECTION ` Date C. i �4 2719 19 7.3
`
TOTAL AMOUNT DUE `� \ I I
STRUCTURE USED AS
REFRG HAN;.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I l
BY X U
Owner . re 71 ' 0 -�—
Architect Address
General Contractor �ress
Contractor Reg. No.
NUMBER STREET _ SIDE BETWEEN WHAT CROSS STREETS
/ ' NiZ' CI NIL d..--e./i/L/ /— ,C
LOT BLOCK ADDITION OR TRACT
...... „...Z4-.4---/.....4...1 ,e.r---0 5�
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 4/ /31 / 7....--a 7.--- / a
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z Y p/ 49-153.0
BASEMENT �' / 7�g� DETAILS OR REMARKS:
❑ N O ` LA/ e '
The undersigned hereby makes application for a permit to do Building Work as herein specif d, agreeing to do all work in strict actor n ce with
all ordinances of the Village of Oak Park Heights. Contractors must register with the villa before permit c /e G
e issued
OWNER/CONTRACTOR SIG �
/
OK'D BY