HomeMy WebLinkAboutPL 1978-1360 Remodel FEE SCHEDULE Permit No.
1.1 SO VILLAGE OF OAK PARK HEIGHTS Plan No. Q
VILLAGE BLDG. (For Dept.use only)
STATE SURCHARGE �D` _00
gBLDG. PERMIT .OV YSrir�
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. p
UTILITY CONNECTION Date `S /° 19ZE
TOTAL AMOUNT DUE
STRUCTURE USED AS
_ .. HANG
REFRG.
MARK BUILD PLUMB. HEAT INSTALL I ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I yl fl I 1 n __
B Y X (LJ 11 rrr �����
Owner /0OI I 1f Sdh✓I S a0) Address 5 8 33 ST4 F_evrrci, 04411
Architect. AJOIU Address
General Contractor S (U Al Fe t ro S. Address Oil r Pa/t k }{1'e A TS
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
S 3A ST r- oicti ail CSI “' - Arl'd
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 4 S n 0
O YES DETAILS OR REMARKS: x:42-t' v 371
BASEMENT O NO
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 Heigh.--Contractors must register with the village for-eoer t c be issued.
IN/NEB/CONTRACTOR SIGNED
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OK'D BY