HomeMy WebLinkAboutBP 1973-637 New Single Family FEE SCHEDULE Permit No. . (0 3 7
VILLAGE BLDG. % / J 3i•Se.) VILLAGE OF OAK PARK HEIGHTS Plan No.
42. (For Dept. use only)
STATE SURCHARGE / T o, ��
BLDG. PERMIT
VILLAGE UTILITY
ME T T ER S.ATRO S,A .CPLBG. � �. s,0� APPLICATION FOR PERMIT
ME i
UTILITY CONNECTION Date / y 19 7`
31 S °
TOTAL AMOUNT DUE
-
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SO BY X S n U Li u
Owner wi c. c-i,q "71 Cf7,9 `-4-- /3 c—ie' G Address Z 3 b L .,� c:---..0 .
Architect ( Address
General Contractor o1 w -- A-- O - --r — Address D / OA .4 ./ '` i4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ 4 3 ti P f, iz_v - &,,i,,4,544' ,
LOT BLOCK ADDITION OR TRACT
�wAls� ,05;� aJ
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT O / -2,r- 7."'O —/ 9 30 7
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 2 V y 6 f 7 �0- y; o
LI ' / X _1 DETAILS OR REMARKS:
BASEMENT 0 NO &)
The undersigned hereby makes application for a permit to do Building Work as herein specifie greeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village efore permit c e issu d.
7WNER /CONTRACTOR SIGN �.,/,- Gam/
OK'D BY