HomeMy WebLinkAboutBP 1974-721 New Single Family FEE SCHEDULE Permit No. �.
VILLAGE BLDG. C. CD VILLAGE OF OAK PARK HEIGHTS Plan No.
) (For Dept. use only)
STATE SURCHARGE �`,,t',
BLDG. PERMIT ( 2r
VILLAGE UTILITY
EXTERNAL
S.A.C. LBG. & O0
METRO APPLICATION FOR PERMIT
O S.A�� _ — 19 UTILITY CONNECTION Date 1: 19 7 ! t '
TOTAL AMOUNT DUE `� 14IP fa
STRUCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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SQUARES +�4 U U U
BY X
Owner A rc"`' , - Crie-41,-sf -4Z C Address
Architect Address
General Contractor �Gv"I'7 -L-- /6/ ,./ Address ✓`77,0' f '9'i /4 1,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
0 YC G / c L .Nrj e/ e,z € J - t ,- -.1.7L —
LOT BLOCK BLOCK ADDITION OR TRACT
of 06 2c.r /
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT " / 3 C z- / - 2- Z.— J v /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 )i / /c/1 !q -a,,lJ C z jl O, V ��.-
$ 4z5 „,c) DETAILS OR REMARKS:
BASEMENT o NO/5
The undersigned hereby makes application for a permit to do Building Work as herein specified, reeing to do all work in tract ac rd ce
all ordinances of the Village of Oak Park Heights. Contractors must register with the village re ermit can b sue
sd.
OWNER /CONTRACTOR SIGNE ((( "``` li
OK'D BY