HomeMy WebLinkAboutBP 1975-960 Fireplace Addition FEE SCHEDULE r/l�� ,dl) Permit No.. q 6 t' J
VILLAGE BLDG. I).. v`� £ ILL E OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE I
I - -/ 1 (For Dept. use only)
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BLDG. PERMIT I .. . / y
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / // /— •2S 19
TOTAL AMOUNT DUE Q
STRUCTURE USED AS
REFRG HANG
MARK BUI` PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
-
SQUARES IX /J ^^ U
BY X ri
Owner _ - , ' • s Address \ _ —1.4 - I IR..
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
I4 6q t S`N AA ' n-'
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 SJ O
❑ YES DETAILS OR REMARKS: 4.Q, COQ
BASEMENT ❑
NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do a w•rk in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village be for ermit ca •e s -d.
OWNER /CONTRACTOR SIGNED 1
OK'D BY