HomeMy WebLinkAboutME 1973-608 New Single Family FEE SCHEDULE
Permit No. Lt p
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VILLAGE BLDG. n? ..S.1:::) VILLAGE OF OAK PARK HEIGHTS Plan No.
S.13 (For Dept. use only)
STATE SURCHARGE '
BLDG. PERMIT V *.QC) P �
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. > //
UTILITY CONNECTION Date Q 19 j
TOTAL AMOUNT DUE , �� 1(.efi ,
STRUCTURE USED AS
REFRG. HANG
MARK
BUILD P L HEAT INSTALL ALTER REPAIR RE ROOF RESIDE MOVE WRECK SIGN
SQUARES `IP U
BY X '
0wnerX 6 ,:. C/ 74). /'6 � e-x Address / �"/ S /1/a-7-2,' $7, J?
rchitect - Address --��
Contractor .dal - Av./ a _' Address 6/12 �� -� /4• /G� e
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BL K ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
YES 7 - C O DE ILS OR REMARKS:
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levCe.
BASEMENT iii
° 1�-1 L -G� (a Z/ o D 0 - (/
The undersigned hereby makes application for a permit to do ilding Work as herein specified, agree' g to„do all work in strict ac rdance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before p mit A n be issue
OWNER /CONTRACTOR SIGNED
OK'D BY �.-L� y
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