HomeMy WebLinkAboutBP 1975-848 Recreation Room FEE SCHEDULE Permit No. SO
VILLAGE BLDG. U ' VILLAGE OF OAK PARK HEIGHTS Plan No.
�)� (For Dept. use only)
STATE SURCHARGE T
BLDG. PERMIT 7 /crU
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. 7
UTILITY CONNECTION Date (1/ 17 7�
TOTAL AMOUNT DUE !I
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL AL R REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner a 4^�Q '(� ' 1Q- Address I V — G `1'4- i • l'
Architect Address
General Contractor '`— ' do-i..- �..— - ' Address tr t4-2-AcKo — G e b
ri ` r
Contractor Reg. No.
NUMBER STREET SIDE 1 BETWEEN WHAT CROSS STREETS
IN 1 in
LOT BLOCK ADDITION R TRACT
ajtjje_celle.0 2..jet-.431)-11'"'
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE '/7 •o 80
0 YES DETAILS OR REMARKS: .
BASEMENT -
Q NO { l
+-&�,L.�
_, 7
ft-Ig7
the undersigne'8 hereby mak��ficct n 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 Par Heights. Contractors must register with the villa off 9,ee permit can ' i d
`WNER/CONTRACTOR SIGNED- fit"
OK'D BY
4