HomeMy WebLinkAboutOT 1984-2236 Re-Roof FEE SCHEDULE If/ Permit No. 42�36
y�d CITY OF OAK PARK HEIGHTS Plan No.
_DG. 439-4439 (For Dept. use only)
SURCHARGE OLrd�O
—IECK
I LITY
4ALPLBG. APPLICATION FOR PERMIT
S.A.C. (.0/,/_ 1'X1
' CONNECTION Date
AMOUNT DUE '7 'S
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG'
S
JERO U C
Address
ct Address
Contractor Address
-Tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION /ESTIMATED VALUE
7 .6f
❑ YES DETAILS OR REMARKS:
❑ NO
-.signed hereby makes application for a permit to do Building Work as herein specified,agreeing to do all , •rk in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village before perm i:.�a1�1
OWNER/CONTRACTOR SIGNED_ -
OK'D BY