HomeMy WebLinkAboutBP 1976-991 Family Room Addition - 16 x 24 FEE Permit No. Q q i
SCHEDULE.
VILLAGE BLDG. Y ULE-
VILLAGE OF OAK PARK HEIGHTS ` Plan No.
C , (For Dept. use only)
STATE SURCHARGE l0 ,
BLDG. PERMIT el
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. (1 � / /
UTILITY CONNECTION Ddt 3 / 19 iLaLc9
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK xi ,-
-J H i H
l
SQUARES I 1 1 J .
BY X
/�
Owner / e /
� mfr JJ -- �0�����1 (�
Yid, C9-/z, 4- / �`z- 0 Address
Architect Address
General Contractor c=5;/ IC.- /3/Z° s - -- Address
f Q ) 0 rv\ t4- ki--7.9-
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ '‘.T� li /A — , A 0 2 0 .171 A - _
LOT BLOCK ADDITION OR TRACT
r � , - L 6
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT iff l 3 e
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
G
I
"RUCTURE d D o
DETAILS OR REMARKS: j�
4SEMENT NO D -^ /6 2,< ...2—/ - .4 r, . i . / /L4 fr
/ il
`u
he dersig ere y ma ap• cati fdbW2it to do Building Work as herein specifie agreeing to do all work in strict accordance wi 19 II ordinances of the Villa of Oak Park eights. Contractors must register with the village efore permit n be iss d. �j
OWNER /CONTRACTOR SIGNE /./ /
OK'D BY -