HomeMy WebLinkAboutBP 1976-1072 Privacy Fence - 6 ft Redwood FEE SCHEDULE L Permit No. / t 7�
VILLAGE BLDG. � VILLAGE OF OAK PARK HEIGHTS Pion No.
STATE SURCHARGE O (:)4 (For Dept. use only)
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAk PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
O i 19��
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG
MARK 1 1 1 I PLUMB. HEAT INSTALL HANG
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ALTER REP RE ROOF MOVE WRECK F RESIpE RECK S
SQUARES I I -
BY X H Pi OV U
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Owner v �a Ad dress I� S ��' Liits.A.,-t-in
Architect . Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET
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SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT OYES DETAILS OR REMARKS:
❑ NO I
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 1L 1.�\ a N,---,...,„„ v „..,_
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