HomeMy WebLinkAboutOT 1976-997 Fence Permit No. —.....q—g---1---
VILLAGE BL SCHEDULE
DG.
VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE ,�,�.
BLDG. PERMIT —I--_
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT ///�� �/
METRO S.A.C. Dat (Ai i / 197
UTILITY CONNECTION (Ai
TOTAL AMOUNT DUE
STRUCTURE USED AS
HANG
REFRG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR RIEROIOF RESIDE MOVE WRECK I
MARK I I U Li C IS SQUARES
BY X
Owner V&re" F•V/G'( Address
/V 7 �'r. i
Architect Address
General Contractor. Address
Contractor Reg. No.
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
/4'4
OYES DETAILS OR REMARKS: I �L
BASEMENT O NO J�
T*Litz-icc.44 rsig ned,(here y ma application fo�a perm` to do Building Work as herein spe , agreeing to do all vfork in stri t accordance with
all ordinances of the Village of Oak Pork Heig ts. Contractors must register with the v. age b fore p rm. iss
can ued .._..
OWNER/CONTRACTOR SIGN �
OK'D BY .