HomeMy WebLinkAboutBP 1976-1058 Below Ground Pool & Fence � ` 14a S',i"1 Permit No.
FEE SCHEDULE VILLAGE OF OAK PARK !!EIGHTS Si- � Plan No.
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VILLAGE R �� �,W��i11Cj —U.'G� (For Dept. use only)
STATE SURCHARGE ___ \\\ "` � 1 1 l
BLDG. PERMIT
VILLAGE UTILITY
FXT RE NAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Date C 19�
UTILITY CONNECTION // I
(Ow• lti �tun .
TOTAL AMOUNT DUE STRUCTURE USED AS
HANG
REFRG . AL —_ PE PAIR REROOF RESIDE MOVE WRECK SIGN
BUILD PLUMB. HEAT INSTALL I I I ` I I 1 I ❑
I
MARK I I I ` I
SQUARES ri I I U
BY X
Owner M--710‘q 1. • ; e.
Asi ress Pia F9 s °7 S"tree' n0 +`�i'1
• C Aci -.r�ss
Architect U ' • a ,� or L, Aosress = "
General Contractor V r
k ; ri , st. P1,..•`i
Contractor Reg. No.
SIDE BETWEEN WHAT CROSS STREETS
NUMBER STREET ' I
t 1
L' S krez'L' 0 o r ��
I
i 8 �� 5 i PION OR TRACT
LOT BLOCK
WIDTH DEPTH
=ICE LOT CL .=P .AC•E FRONT BUILDING LINE
LOT ESTIMATED VALUE
TYPE OF CONSTRUCTION
WIDTH LENGTH HEIGHT xQOFST =' Stems 4....,...-t f6 � i
DETAILS OR !~MARKS: /
❑ YES . / i, /,. ,/
BASEMENT ''� —
❑ NO
J /
l , . Q / IE z
✓ ,,,/ ,�
al u
ersi•ed ereb ma es / app ic, ion for er4iit to do Building Work as -rer+;n specified, agreeing to do all work in s trict accordance with
° v' a ore permit can l wo d.,
OWNER; all ordinances of the Vi loge of Oak Pa k Heights. Contractors
CCNTRACTO i�ti=D g { must
‘\--- C <'DBY
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