HomeMy WebLinkAboutBP 1973-673 Addition (25' x 40') FEE SCHEDULE Permit No. 10
VILLAGE BLDG. 3�, O'.; VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept, use only)
STATE SURCHARGE Z ^�
BLDG. PERMIT .J1.1 IX
VILLAGE UTILITY
EXTERNAI PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / el 1.- 19 7.?
TOTAL AMOUNT DUE 0 cc-r=
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
o
SQUARES -/ I I _
BY X /1/4 l I U ,
Owner � ✓ r4 r� 1�c J T c.. Add ress J'8 ° 8 e94/4-/14
Architect Address
General Contractor c w ��'e—, rii >,. T / G Address `� './
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.re M / r4 4,4‘,,, /x/c I
O A )
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 04 f IF / 0- G J
L O c..,
BASEMENT
YES n /:, DETAILS OR REMARKS:
0 NO oe L.J. Z ..r...K ( V ' v M D / yi Q s,/ O ...) .. ) p7f Gi O ":::',": C t.
vc� G
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the villag efore permit can issue_
7WNER /CONTRACTOR SIGN • �.
OK'D BY —