HomeMy WebLinkAboutME 1973-651 New Single Family FEE SCHEDULE Permit No. (, , 57
VILLAGE BLDG. ,z • 7S VILLAGE OF OAK PARK HEIGHTS Plan No.
-SID (For Dept. use only)
STATE SURCHARGE �
BLDG. PERMIT 4" n n
VILLAGE UTILITY yrde
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. '�j�- /y am- r�
UTILITY CONNECTION Date �'�� Y , JO 1773
TOTAL AMOUNT DUE /C.lccf,e
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT g INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES �r—l
BY X
Owner 4- X -7 - X2:1 -c . ..1 Address / 7` - i
Architect � Address
General Contractor -4l � ' s > . Address f e (r %3%fr?a QG'4, 7 ,
Contractor Reg. No.
jt e.i :mow , 1-6-etz i4* ;ie---. i. /..2. 40 r.. , ..
NUMBER f/ STREET SIDE BETWEEN WHAT CROSS STREETS
/ L .st 4 ft
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 1 3..r.--22 CC
BASEMENT YES 4L
DETAILS OR REMARKS: 2 ^ 0
O NO Le/kJ � 6, 6 , � c�i,
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr i to do all work in strict acco nce with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before rmitA n be issued.
OWNER /CONTRACTOR SIGNED r .
0K ' D BY - " Q %��7 errZ4