HomeMy WebLinkAboutOT 1973-559 Fence Addition ,
FEE SCHEDULE Permit No. c:2
--75
VILLAGE BLDG. .6'`6 d VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE ■CD.f;
BLDG. PERMIT .5
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT ,� � (1
METRO S.A.C.
UTILITY ( .0 ��c 7d 19
UTILITY CONNECTION Date / //��
TOTAL AMOUNT DUE QA �
STRUCTURE USED AS
---al:'674'
MARK BUILD PLUMB. HEAT INSTALL L Q/ ALTER REPAIR REROOF RESIDE MOVE WRECK S GIN
SQUARES
[ y [ _ I
BY X L /\
. a_tY6L,
Owner C"/L A76 Ai j9 ) ' Address // ' / 4/6-S7
Architect Address
General Contractor c Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
iz7/6/4 o"'7 (7`• /1). /V
LOT BLOCK ADDITION OR TRACT
1
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agr ing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befj• rmit s ed.
OWNER/CONTRACTOR SIGNED / . „. /ore,
OK'D BY