HomeMy WebLinkAboutBP 1973-574 New Single Family FEE SCHEDULE Permit No. .3 "---' )
VILLAGE BLDG. ( VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 9®• ���JJJ
BLDG. PERMIT / 3 5sc
VILLAGE UTILITY J ���JJJ
EXTERNAL, PLBG.
METRO S.A.C. APPLICATION FOR PERMIT
UTILITY CONNECTION J D ate L � �� �
TOTAL AMOUNT DUE � 7;2 19
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4 G \��,
��( \� S TRUCTURE USED AS
REFRG. HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES L —
BY X �
Owner "le— /'/ 6 z f° ^—) Address
Architect Address
General Contractor c 4- 6" c nom- vv1 tdress 9 or (2 �7� ,/i9
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ Cif I te;17/0 _
LOT BLOCK ADDITION OR TRACT
/ , C/LJ C_ C---h _ �-�- _.
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT ,, `3 J / / / z / e /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
IN.ES l ' " / o) DETAILS OR REMARKS:
NO pi
The undersigned hereby makes application for a permit to do Building Work as herein specified eing to do all wok iry� strict acc d wit all ordinances of the Village of Oak Park Heights. Contractors must register with the village b e = •e mit a. b s ee
OWNER/CONTRACTOR SIGNED
OK'D BY