HomeMy WebLinkAboutME 1973-652 New Single Family FEE SCHEDULE Permit No.
VILLAGE BLDG. ___ —t) VILLAGE OF OAK PARK HEIGHTS Plan No.
`��^} (For Dept. use only)
STATE SURCHARGE t'4
BLDG. PERMIT a3,0°
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 7 1
UTILITY CONNECTION Date - 1(7
TOTAL AMOUNT DUE ke- d-.a_.4.v2Lc. -P
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner .- / 'ri /9�z' Address / ` 7 -�l° 57 �Y ,
Architect / 11 Address
General Contractor i4 /` �t sit - Address 91 i c..t. a-e 7 6
Contractor Reg. No.
... • ' ' .. , 47Z ZeLetzux& at, b(7z Cd-z-;-- 66-e. •X •
NUMBER ,('"'� STREET SIDE BETWEEN WHAT CROSS STREETS
l G TJ b r `J fj �JV.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION A ESTIMATED VALUE
STRUCTURE 6r/
DETAILS OR REMARKS: �����,,� f��Z _gZ cu,
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BASEMENT ` YES vc� �� p _ " � talcA:s4 -a.
The undersigned hereby makes application for a permit to do Building Work as herein specified, agre t g to o all work in strict acc nce with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before rmit be issue �L�
OWNER/CONTRACTOR SIGNED -e �7
OK'D BY �/l