HomeMy WebLinkAboutBP 1975-915 Garage FEE SCHEDULE / Permit No. _ s"
VILLAGE BLDG. /4. VILLAGE OF OAK PARK HEIGHTS Plan No.
/ �� (For Dept. use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date / 19 7 -S "
TOTAL AMOUNT DUE -- 4°j1--414)
STRUCTURE U D AS
REFRG HANG
MARK BUILD PLUMB. HE INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1 I l U
BY X 1 t �-
Owner it .a.11.—.7. 4.-1A—r. Address
Architect Address
General Contractor 6r- Address / ZD D h «
Contractor Reg. No. . 6 � _ . _ _ 5 `T /D X
NUMBER STREET SI1DE BETWEEN WHAT CROSS STREETS
arc
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 +� a _ 3 9Dd Pf
O � DETAILS OR REMARKS:
BASEMENT ❑ YES
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, reeing o al rk in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the villag e e perm ' sued.
. WNER /CONTRACTOR SIGNED C
OK'D BY