HomeMy WebLinkAboutBP 1975-00932 Remodel FEE SCHEDULE Permit No. . 9.4.2-% I
VILLAGE BLDG. °_Q VILLAGE OF OAK PARK HEIGHTS Plan No.
dU (For Dept. use only)
STATE SURCHARGE iy+ 2
BLDG. PERMIT 1)x—. 1
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. n
UTILITY CONNECTION Date m / ,.. -_
` 19—
TOTAL AMOUNT DUE /
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 4
BY X
Owner �.41 c-•yt.c s Address I tAtOO --
Architect Address
General Contractor s .t.,.► urc dw c'c> Address 2 SZ a 6 - c 2 ,e ) _ 1-'.. ,e,. e./014.<4-
Contractor Reg. No. /ia'iV. 5-51i'e'
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
14i bbd . �1 n '"
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH f SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE �y
• i / . / . A:1 .� -.i�_G•/ r L` dab
❑ YES DETAILS OR REMARKS: r
BASEMENT ❑
NO
/fr 1 9-- /97i
The uncle s`g -•r -b ma a ppli/ation`'-r as p� to do Building Work as herein specifie a reeing to o a ork in strict accordance wi h
all ordinances of the Village of Oak Park H-fights. Contractors must register with the village r it c n u
'OWNER/CONTRACTOR SIGNED L
- OK'D BY