HomeMy WebLinkAboutME 1975-836 New Single Family FEE SCHEDULE Permit No. A ":)
VILLAGE BLDG. -4.-S� VILLAGE OF OAK PARK HEIGHTS Plan No.
S"-C) (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT .?3 -oo y 81..
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. r�
UTILITY CONNECTION Date �� /777 / r 3 197T
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG
HANG
MARK BUILD PLUMB. H EAT INSTALL ALTER REPAIR REROOF RESIDE I M - OV � E WRECK SIGN
SQUARES
1 I I 1 1
BY X ` t I l J
Owner G-146.11i' Address / -L l/ 4. ,k,-
�eL Architect Address ))
Contractor • Address k72- (4., " rr' ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT ffiejf&()
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
4-0 DETAILS OR REMARKS: --�e /e 2 —h "
BASEMENT
0 NO / _
•.3 0 i
- ( 744-)ft-a l l de-co-74 1 ' 0
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr ing to do all work in strict cordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the vill r per - t can be issu ••1 J /LCD
OWNER /CONTRACTOR SIGNED tic -..- /
/ ✓ . "' `
- ` OK'D BY — L�,fJ4? /Gf/'.7Z�2.4. - -- iLe¢�
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