HomeMy WebLinkAboutBP 1976-1038 Remodel FEE SCHEDULE Permit No. /634
VILLAGE BLDG. /,S—C4 VILLAGE OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE ;--").2::"
- (For Dept.use only)
BLDG. PERMIT 17
VILLAGE UTILITY
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C.
UTILITY CONNECTION Date 19 76
TOTAL AMOUNT DUE
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES \, Y
•BY X /\
`,� ,,� II,, ��j'
Ownerg� � Address _ 5T3r ���ec,d� �`-2c`,v'
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Architect Address
General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5T3?' : g
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 576'c9a 4`—
BASEMENT
O YES DETAILS OR REMARKS: / / � 1,..u.. .,_,Lc
NO 147,6%Ai )-s" 9_E x 3 0 2J cat- ,!
The nder igned her by m es 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