HomeMy WebLinkAboutBP 1973-638 New Single Family FEE SCH ULE
Permit No. b a �
VILLAGE BLDG. VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE /�.� JX(Rt��� (For Dept. use only)
BLDG. PERMIT (J� ��
VILLAGE UTILITY
EXTERNAL PLBG. . 1/APPLICATION FOR PERMIT
METRO S.A.C. 7� / (
UTILITY CONNECTION �� Date _ / Y 17
TOTAL AMOUNT DUE
-'
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES ( I i
BY X ^ U —
Owner — 774/17A..7,..9 1 /It', �✓ c Address / 4 tJ v 2 - G v o
Architect Address
General Contractor SG) A G E- /5/2108 - t Address '7`r Pt?' 0 A / ,4�
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ vf c/ Gba,e7c._ 47 ,st> ila 0 1 ?--- ) — 0 41 .5
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT I v / 3J z o - 3-v /
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 / --,/ J' / `jL ,i,,,j E - 2 ,-, ‘,�,..,0 __
i
IJt" DETAILS OR REMARKS: 5)( V 1 e't6f`dl-L
BASEMENT O Ol O
t 'lrAwoLis. ./ _....--
The undersigned hereby makes application for a permit to do Building Work as herein specified, greeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village be re permit ca issue � -
OWNER/CONTRACTOR SIGNED SIG
OK'D BY