HomeMy WebLinkAboutME 1974-713 New Single Family Dwelling , •
FEE SCHEDULE Permit No. "1 IA
VILLAGE BLDG. .R.A•So VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE
,;° (For Dept. use only)BLDG. PERMIT ,e2 :CC f�
VILLAGE UTILITY YYY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date �J
�� �t� �j 197
TOTAL AMOUNT DUE /dam--,C_,�1�i.-CjF�
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1�/ 1 I `— I '
BY X Iv7��l l U-
Owner Address 7"12.1 t7G — -"'7 -� .Jf�
hi ect / Address `
ontractor_ �C/�� Address 6fy� ( �t---e- 7 -.‘
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 pO•
• ,i-3 DETAILS OR REMARKS: /'C..2 � _
BASEMENT
0 NO / ,,,o �G ,p ` ��
mac, f .- a co ,,g: , ,,,,,),..„,/,,
The undersigned hereby makes application for a permit to do B ilding Work as herein specified, agre/g to do all work in strict a ordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village bef
rail Can be issue / �
OWNER/CONTRACTOR SIGNED
•
OK'D BY / ,. / i
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