HomeMy WebLinkAboutPL 1974-701 New Single Family FEE SCHEDULE Permit No. 0 1
VILLAGE BLDG. C:Z • C>° VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE r' '�
�Ci (For Dept. use only)
BLDG. PERMIT agr fk
VILLAGE UTILITY /
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION
Date ad. 19 7 ' .
TOTAL AMOUNT DUE '`
STRUCTURE USED AS
REFRG. HANG
MARK BUILD P HEAT INSTALL ALTER REPAIR R RESIDE MOVE WRECK Li
S O BY X S 1 1 �J U . �_ L_i
1y WS9 a..-
Owner c Address 14as� - 5 ri IL
Architect ' Address
Geaera-I- Contractor 11i Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1A 5-,m 4.4._ w .:-.5
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
BASEMENT
❑ YES DETAILS OR REMARKS: 1
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, a .- '''
ei g)to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befor •a m't can ue_ d. _
OWNER /CONTRACTOR SIGNED €
OK'D BY _