HomeMy WebLinkAboutBP 1975-929 Garage Addition & Driveway FEE SCHEDULE Permit No. 9A 9
VILLAGE BLDG. `g VILLAGE OF OAK PARK HEIGHTS Plan No.
-- (For Dept. use only)
7 STATE SURCHARGE / / r_
BLDG. PERMIT /3 e�
VILLAGE UTILITY
EXTERNAL PLBG APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION P 0 to - . _ _ 19
TOTAL AMOUNT DUE /ii, , 1 6, U,0 1111 , .
ST•'" CTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK S
SQUARES n n n
n
4 %
IGN
MARK
X
Owner k:\l_e"ro r L 6-' rj Address i 4-4-6 — -
- 3 -- 1 '\ --1-' let
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT R OC K ADDITION OR TRACT
4- trut,0112_.. --eo—rZt„ c:,..\:_iL.Q....4)
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE a gb e- --ia
O YES DETAILS OR REMARKS: C�d��Qx Xl
BASEMENT O n _ U Q
N O O .K-AZ
--4 7— (1— 19 7 5 _
The unde7 her ma es pp icatiOn for / J permit o do Building Work as herein specified, a miring to do all work in strict accordance with
all ordinances of the Village of ak Park Haig s. Contractors must register with the village /r perm" can e • ed.
OWNER /CONTRACTOR SIGNED
— OK'D BY
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