HomeMy WebLinkAboutOT 1976-1062 Fence -" �/ Permit No. / D 6 �-.
FEE SCHEDUL VILLAGE OF OAK PARK HEIGH Plan No.
VILLAGE BLDG. (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY
EXTERNA4 PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date �'a 197 ae-'14,0t)
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
MARK BUI PLUMB. HEAT INSTAL
REFRG. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
1 L
SQUARES H I 1 n n U U I I —
BY X l 111
(Qt k Owner Address �
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
i 4., �—(0 , u_�
LOT L K ADDITION OR TRACT
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
ED VALUE
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED
STRUCTURE
900 --
DETAILS OR REMARKS: l 4
0
BASEMENT YES
0 NO /40 8 7 /. ` t y, .
The undersigned hereby makes application for a permit to do Building Work as herein specified, reei do a l ork in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befo perm n b sued. —`
OWNER/CONTRACTOR SIGNED I C I J Y '
OK'D BY -