HomeMy WebLinkAboutBP 1975-879 Addition FEE SCHEDULE ���� yq-1
Permit No.
VILLAGE BLDG. I l�►:d VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT 0_ e
VILLAGE UTILITY
EXTERNAL PLBG.
METRO S.A.C. APPLICATION FOR PERMIT
UTILITY CONNECTION Date i3 19 7''
/X
TOTAL AMOUNT DUE
1 l TRUCTURE USED AS
REFRG. gel+
i�'M HANG
MARK BUILD PLUMB. HEAT INSTALLq� ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
-
SQUARES I Z BYX t U
1 //rs7/y�., 41,,e,,,,i r'1 47 0 71:7 gM 'E/ '/Owner ��L! Address /''M 'C?
Architect # Address ask' Pei /4/;,,A
General Contractor LC',2ti.'�.�-f 4.A'Arc 7i Address
Contractor Reg. No.
NUMBER STREET I SIDE BETWEEN WHAT CROSS STREETS
S 70 igi-i /cid AvLfuE Wiz
LOT BLOCK ADDITION OR TRACT
6 Iscicit.a. ilicr",' '
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
2 gG7 /~0 1oa _ /d,0 SC,
WIDTH LENGTH HEIGHT NO.OF STORIES i TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
{4.0/ 30 ii / C�oe.G; 3000.
`C
YES J clia-rei Il od 0 DETAILS OR REMARKS:
BASEMENT O
NO I
�r�1,.a ��p✓ C c 2.2 c r/C 2 7 5 _grate, '{ .
5.--(,-.0 CI-1 6\ 11°7/ �x act
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The undersigned Kereby makes ppli ion fermit to do Building Work as herein specified, agreeing to do all work in strict accor•ance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village�b�efo�re,pe mit can be issue . I
')WNER/CONTRACTOR SIGNED_ .4 '/. 1
OK'D BY