HomeMy WebLinkAboutME 1973-602 New Single Family n
FEE SCHEDULE Permit No. 6 O �
VILLAGE BLDG. 02 e. 7y VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
^ 0 (For Dept. use only)
BLDG. PERMIT da
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C
UTILITY CONNECTION Date . Lt- 4r 193
TOTAL AMOUNT DUE A,.
STRUCTURE USED AS
REFRG . HANG
MARK
BUILD PLUMB. HEAT INSTALL lI ALTER REPAIR REROOF RE SIDE MOVE WRECK SIGN
SQ BY X I jI
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Owner
IZ �i �( -4`J. A �Qg - �1?�L44� d-'(= �zG .
Address Z�Z� /
Architect Address
' Contractor (? 14U t Address G / rr CL %� LL B, "-(�-e • 7Z, ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/i6 70 5-Z fh 4
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE _
STRUCTURE E r: !It_
BASEMENT
X-YES i t DETAILS OR REMARKS: c G �f. IGgQ�G�
❑ NO /S--' Sa
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The undersigned hereby makes application for a permit to do Building Work as herein specified, agr / rig to do all work in strict 04ordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before er can be issu •./ ill
OWNER/CONTRACTOR SIGNED _.a-j /_.tt`�� /' -
OK'D BY 'i/�r. _/ . iii - - - __
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