HomeMy WebLinkAboutBP 1975-925 Addition FEE SCHEDULE Permit No. 73."-..
VILLAGE BLDG. 'Jr` VILLAGE OF OAK PARK HEIGHTS Plan No.
�,�., (For Dept.use only)
STATE SURCHARGE �_�"�1 L
BLDG. PERMIT
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. Q
UTILITY CONNECTION Date
o 0 19 7.f
TOTAL AMOUNT DUE �'� � '
STRUCTURE USED AS
REFRG. HANG
MARK
BUILD PLUMB. HE - INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQBY XES / ` n l
Owner N�-LD x�6 Address 1��6 yl ti • ;j• C' A. z�''1i;_.
Architect Address-&-
k, ,0, --` r•. Address �-, 4-
") 1G�', �, 'dc— ' 1t11
General Contractor ,s---if 7
Contractor Reg. No. C*-4- -
( -.r. t',4-0L •# c s g351
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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 i./ n 7(c /F/ / 14--'eCT) fiC AA le CO e'<cc,
0 YES DETAILS OR REMARKS:
BASEMENT NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village be, re per{nit be is"ued.
'IWNER/CONTRACTOR SIGNED LO ,
OK'D BY —