HomeMy WebLinkAboutBP 1976-1059 Fireplace FEE SCHEDULE Permit No. /6.a
VILLAGE BLDG. __ _/ VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE S z„ (For Dept. use only)
BLDG. PERMIT .5 /C a
VILLAGE UTILITY
EXTERNAI. PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date &Q V_ f r 19
TOTAL AMOUNT DUE (
STRUCTURE USED AS
REFRG. HANG
MARK
BUILD PLUMB. HEAT INSTALL ALTER REPAIR R EROOF RESIDE MOVE WRECK SIGN ____. __..
SQUARES `Iri U BY X
Owner
2 -14 A --,,d3 "t .2-t'",') Address l L( 3° C /V 5 //f' 5 /
Architect Address
General Contractor --4126 Address
Contractor Reg. No. ll//
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
30e N .5"7 T S r Ai a
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
'RUCTURE CL—
❑ YES DETAILS OR REMARKS: 51.-- L
4SEMENT/U7 /a,
❑ NO ^� � /
,e - v /
r
rsi ned ereby a es application for a permit to do Building Work as herein specified, agreeing
to do all work in st ct a cordonce with
9 9 P
11 ordinances of the Village of Oak Park Heights. Contractors must register with the village before ue i n be is d.
OWNER /CONTRACTOR SIGNED /
,
– OK'D BY —