HomeMy WebLinkAboutME 1973-664 New Single Family FEE SCHEDULE Permit No. el
VILLAGE BLDG. r• 22 )• VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE S° 'l (For Dept. use only)
BLDG. PERMIT d (1 (For
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. ����'
UTILITY CONNECTION Date �-F�� ; ' 1g?�
�.
TOTAL AMOUNT DUE /6471^�4-6e..
STRUCTURE USED AS
REFRG . HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I 11 l 1 n
BY X
Owner `IL/ 1� Address /Z 3
Architect / Address
- ueae+`e't'Contractor .� _ �
1 Ain ,.• r Address !x /9'2- — a -ae_v_.. ��,', _ 7
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT OCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE P"C°' La
YES DETAILS OR REMARKS: G'LLL - t� /�GP — /j Ct
BASEMENT / .t... O NO Ir' , " /� Li/ . /I. *I ` 9� //'r� • - • r XLC e
��. 0 / / - -
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict ordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before erm can be issu d 2 l /
nWNER /CONTRACTOR SIGNED - G.c/tzziL --
OK' D BY �, . i1?��"�"Gt�iti -/ /4214,....<-7,