HomeMy WebLinkAboutBP 1974-692 New Single Family FEE SCHEDULE Permit No. `/• ! �"
VILLAGE BLDG. VILLAGE OF OAK PARK HEIGHTS Plan No.
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4°573 a (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY
METRO S A LBG. 3 00 . °--1-* ,Q APPLICATION FOR PERMIT d ///-/-
UTILITY CONNECTION Date =
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. H EAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUA fl f fl f __
,------.,
Owner '------/ /' �� z Address
Architect Address
General Contractor S --1 (-' 42 c J.,4 i c Address .mac! 9 f' 0 rstAt4
Contractor Reg. No.
NUMBER STREET SID BETWEEN WHAT CROSS STREETS
/ 'de U P 1Z O et\ 0 e r' 4_ H,4 ,
LOT BLOCK ADDITION OR TRACT
AI ? 1f 6 12 r �u
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT 3 /4 -jf O 3
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z > 3 G 7 / j'Z�,1.. 0.-- - Z � ` -a te --
�ES 1s 41-5.-(.0 v DETAILS OR REMARKS:
• BASEMENT O
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance
all ordinances of the Village of Oak Park Heights. Contractors must register with the village afore permit be iss
OWNER /CONTRACTOR SIGNED « UX( 4?-
OKD BY