HomeMy WebLinkAboutBP 1984-2240 Canopy - (Variance 06-11-04) FEE SCHEDULE l Permit No. � G
_DG. dZ
IS• 5 d CITY OF OA PARK HEIGHTS Plan No.
439-4439 (For Dept. use only)
SURCHARGE I7• O
HECK / B
-I LITY
NALPLBG. APPLICATION FOR PERMIT
S.A.C. 7
'CONNECTION 2 Date 10__
AMOUNT DUE .3 23. '
STRUCTURE USED AS
REFRG HA!.
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
Address
=t Address
Contractor _ Address
_Tor Reg. No.
z.9 . by'-337F
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH I SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS:
❑ NO
-s.gned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
ices of the City of Oak Park Heights.Contractors must register with the village before per ' . i •.
OWNER/CONTRACTOR SIGNED 1/-
OK'D BY