HomeMy WebLinkAboutBP 1973-674 Re-Roof FEE SCHEDULE Permit No. 7
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VILLAGE BLDG. .�) e v 0 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE o `'S-Z3 (For Dept. use only)
BLDG. PERMIT .5 v
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date f 4 19Z3
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR ERO F RESIDE MOVE WRECK SIGN
SQUARES _ I 1 _ `— I I I I _
BY X l l 1
Owner l C3L11�a— CQ x ,.Q -�-4/ Address ISal ...4-k--(--\ A`' y..
Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER t ' STREET •SID BETWEEN WHAT CROSS STREETS
l aig to` WI Ai• YL. V L:
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NOOFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
I p
BASEMENT
O YES DETAILS OR REMARKS: (}
Q NO
The undersigned hereby makes application for a permit to do Building Work as herein specific agreeing to d all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village e ore per it c n e issued.
OWNER /CONTRACTOR SIGNED 4a 7/7c
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OK'D BY _