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FEE SCHEDULE Permit No. b LI/
VILLAGE BLDG. 4.G"O VILLAGE OF OAK PARK HEIGHTS Plan No.
/ pd_. (For Dept. use only)
STATE SURCHARGE �/ ,•, �j
BLDG. PERMIT I' I
VILLAGE UTILITY
METRO S.EXTERNAL
CPLBG. 7(- 4d APPLICATION FOR PERMIT
UTILITY CONNECTION Date / z 19 .
TOTAL AMOUNT DUE ` J
STRUCTURE USED AS
RE FRG. HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1 YI I I _ a
BY X I /� U
--• H
Owner Address
Architect Address
General Contractor S R dr em. Ti rz-0 ...t- .../ c.. Address s"8 9 8 O WA A /4 /4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
"f S' So O 454 -o f - ea 6 — D ' )3 z, ��
LOT BLOCK ADDITION OR TRACT
( 7.c. . /4- /Z Z J 7 7 v
7 • G � . 4 s - r .SEE Orrht CH/IA/GE
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT .,. f. 9"0/ `-/—Z V—/ 0 2 f 3 J /-
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE Z6, __ , : 7 4,f Q / /20 l 1l 0 0 .0 D;
EKES ES 1) , `1 t A114 DETAILS OR REMARKS: SUBJECT TO VERIFICATION OF
0 NO REGISTERED LOT
The undersigned hereby makes application for a permit to do Building Work as herein specified greeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village ore permit a e issue �
7//6 -//- 477:5 4. f/ AG' m L f / 70 OWNER /CONTRACTOR SIGNE P /
......, OK'D BY J j
� TO CnIT/RE •neT of /?GS