HomeMy WebLinkAboutME 1973-601 New Single Family FEE SCHEDULE
Permit No. igdl
VILLAGE BLDG VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE g jJ0 (For Dept. us only) BLDG. PERMIT ,
VILLAGE UTILITY
EXTERNAL PLBG. _ APPLICATION FOR PERMIT
METRO S.A.C. (1
UTILITY CONNECTION Date .emote, /
TOTAL AMOUNT DUE //,
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
_
SQUARES
BY X L 7415-7L
Owner G/ / L • e LG Z-LL, Address 1 4 4 3--- i L
Architect . / Address
T
/ a4 Contractor Y.1 %_..e .1 L Address / 91 cez-z - ct'-e r 7
Contractor Reg. No.
NUMBER STREET Z' SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE OC
"/YES l, 7.-d". DETAILS OR REMARKS: � :�,,� f
BASEMENT 1�l
0 NO /`S: oo� �3 - lio �hr44.,tY d• ud / (J.44a-
.5-0
4- 2r (//o coo /_ (. ,J�`'.G)
The undersigned hereby makes application for a permit to do Building Work as herein specified, ogre g to do all work in strict acc once with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before rmit n be issued.
OWNER /CONTRACTOR SIGNED _. ii A ∎ L�
OK'D BY /� A 4v -, �.�Y�t ..dir....
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