HomeMy WebLinkAboutBP 1973-659 New Single Family •
FEE SCHEDULE Permit No. 6 4
VILLAGE BLDG. VILLAGE OF OAK PARK HEIGHTS Pion No.
(For Dept. use only)
STATE SURCHARGE
7 p
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. yI 'ems P( APPLICATION FOR PERMIT
METRO S.A.C. I N
UTILITY CONNECTION � __
- cl� Da�� � 'l 19 '
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL __ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES _ `— U
BY X L
Owner ./�� c .'": v Q c--..=-7,, Address I Z %' / /76 41.) o v!>
Architect Address
General Contractor 5 c..) "9-G e /L v r Sv Address V 9 f C%''11 'L Az-rst
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ V / 4/ ff e — p h) ,4- ,t - x,9'4 -
LOT BLOCK ADDITION OR TRACT
q
v "3 OJ!9'� CSC-' 05iz, a J 5 <& 44, 1. ' -J ,
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT J / J / / 9 /._ Y c7 ' 7'' _ /
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 S p jtq 7- - 7/ 'f?G7f� ,'
O YES '" `L30 13 DETAILS OR REMARKS:
BASEMENT 0 NO J/4)* J
The undersigned hereby makes application for a permit to do Building Work as herein specifie greeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village efore permit can ss ued� �
')WNER /CONTRACTOR SIG
- OK'D BY