HomeMy WebLinkAboutME 1974-690 Furnace to Tenant Space @ West End FEE SCHEDULE Permit No. (D 96
VILLAGE BLDG. 4.21•1S. VILLAGE OF OAK PARK HEIGHTS Plan No.
i Et) (For Dept. use only)
STATE SURCHARGE ,
BLDG. PERMIT ,tT. e
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Dat � '/
a � 19 ?
TOTAL AMOUNT DUE --- Z-
'
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HE ATi INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
I
SQUARES I U U
BY X _
Owner Cam/ '' -: / 1 / ' L-v . i. , Address - eC 61`ti(-1-`t /l-Cl
/
�J �. rchjtect c Address
ae� Contractor < . , _ Address 6 /72 C , z , A-1--e-7Zept
Contractor Reg. No. .
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
Si 4/7 0 411 -r ' (
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
7,0 .-
O
,j-Z) DETAILS OR REMARKS: * W/2 4 — //0 b
BASEMENT YES 1. "'S—
o NO S , o o
4 -7t' — .:"
.e.,( t�Y — / /Q o o0 /6: Z .liG i .
fele,tx,4
Th e undersigned hereby makes application for a permit to do Building Work as herein specified, agreein• /to do all work in strict acco •ance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before p it c f.e issued.
OWNER /CONTRACTOR SIGNED Ir J A �� ' -- L
OK'D BY / CG%1 /. / // Z)>