HomeMy WebLinkAboutSI 1976-1060 Wall Sign - Goodyear Tire (per Variance) FEE SCHEDULE Permit No. AO t O
VILLAGE BLDG. ! VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
STATE SURCHARGE
BLDG. PERMIT
VILLAGE UTILITY
EXTERNA. PLBG. APPLICATION FOR PERMIT
METRO S.A.C. rr��
UTILITY CONNECTION /J, Date 7:///'' ' 19
TOTAL AMOUNT DUE ` . ) (L'A"t4 SI,1e4frt../
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES n n n n E
BY X
/ / ,,,..--2---;4,7 • ,- ,
Owner 4 D v k T"' Address `57` CR9/>' m41
Architect Address
General Contractor L19“iX. /11 $/Ski-t -1--,'/C. Address '`/S P/ '"1 6'74" Ar
Contractor Reg. No.
NUMBER STREET 1 SIDE BETWEEN WHAT CROSS STREETS
19164/ 64tD`�-- 4 - -
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
TRUCTURE (2) - ; 1 2' / fiafi e-°f /5/)'r -X`1l�Dei c
DETAILS OR REMARKS:
0 YES VA/1//ia�Gic-i i-: X-PfigQ�/a�.J'',
IASEMENT
0 NO p� q '
l24iF 7- Q F is a 1
7 .. 2-[ — !97,L
.F[e u dersig d hefebyleg pplrcctio
illo
r per iti.o do Building Work as herein specified, agreeing to do all work in strict accordance with
ill ord inances of the Village of Oak Park H�6ights. Contractors must register with the village belfo e p mil cancbe issue .
9
---,OWNER/CONTRACTOR SIGNED r2°jc' / �
OK'D BY