HomeMy WebLinkAboutME 1975-00959 HVAC /••'■
FEE SCHEDULE Permit No. q
VILLAGE BLDG. t VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE 112) (For Dept. use only)
BLDG. PERMIT 3 1iS
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date I 1'7 19
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X A X X
Owner 7:4 Address 1r, Li\ ( Ct .
Architect Address
General Contractor se).. t, • C, Address 2 tr:
Contractor Reg. No.
/..itg LL,
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
“, t . ttt
LOT BLOCK ADDITION OR TRACT
—
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT 0 YES _
ONO
['Lit; - Tr\cc_z-, VT • C,
67 LA•
C.C),NC\ , -„ C C v-- -)Tt,
The undersigned hereby makes application 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 Park Heights. Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
— OK'D BY