HomeMy WebLinkAboutBP 1974-823 New Single Family FEE SCHEDULE Permit No. 6 -AN./
VILLAGE BLDG. °_,_ VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE 0.
BLDG. PERMIT 5
VILLAGE UTILITY
METRO SAA,C PLBG. -trA APPLICATION FOR PERMIT /
UTILITY CONNECTION Date iil 1 V 19 ��
TOTAL AMOUNT DUE /
�re
ST' UCTURE USED AS
REFRG HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1111 I ^I Li -� f`f
B Y X �` /�
Owner //, /✓ �S' � �'F rfJ Address
Architect �' Address
General Contractor . r) '� E� v�
r5`�' �`;- elf Address , L/'/,-%-! ,4 l'`''-
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
l 1 G 9/ vo,C- V c - - - "
LOT BLOCK ADDITION OR TRACT
/ /
WIDTH DEPTH / SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT lc / / 3 .ri 7.C' /� jt7 / e2 /
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 7r- 4 70 / 4 '' / / ( ?fri 2i Y -��I /
AIA-CtAtal LC l /' 4- l Q7l DETAILS OR REMARKS:
BASEMENT -. �1�y�� / 0... � a
�� �;
The undersigned hereby makes application for a permit to do Building Work as herein specified, reeing to do all ork in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village b ore permit can b ssued r `" -'e..
OWNER /CONTRACTOR SIGNED "�"� -L �
OK'D BY