HomeMy WebLinkAboutME 1974-707 New Single Family '"t /"•
FEE SCHEDULE Permit No. / d 1
VILLAGE BLDG. 4 : /S. VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
/ ,
BLDG. PERMIT ` .� Iy'
VILLAGE UTILITY
EXTERNA. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. /
UTILITY CONNECTION Date 19
TOTAL AMOUNT DUE 4e —i— t."' fte..e,
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I `-
BY X � , U
Owner �I� L � it- -4-ael- Address
/- — 57 .fit
' rchit• A Address
i
..+• e . ontractor 11 0 ✓�� �', - Address /9/7,a_ 4.4.4.E ae-e- 7 ,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
P7Idy 5 4 it
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
/Goo —
D YES � -p'S' DETAILS OR REMARKS: G e.e. -t - -4-
BASEMENT / o c o //,/�
0 NO , . f/L0./.. /z C3 -737 / v ,-,,,,1„,„ef,
The undersigned hereby makes application for a permit to do Building Work as herein specified, agree/ to do all work in strict ac • dance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before p it j n be issue. >
OWNER /CONTRACTOR SIGNED "d , "� . . / /- � IL,
O K' D BY _ C - I 1e -c-l..,