HomeMy WebLinkAboutPL 1984-2218 PL Permit 2153 Refund /""(
FEE SCHEDULE Permit No.(---,.02_/ r
CITY OF OAK PARK HEIGHTS Plan No.
_DG. 439-4439 (For Dept. use only) I
JRCHARGE
-ECK
LITY / S 3
;ALPLBG. APPLICATION FOR PERMIT
CONNECTION Dotec.
/d 19 X
-.MOUNT DUE / ty V V S --");(-144-4-/
STRUCTURE USED AS
REFRG
HAW.
BUILD PLUMB. HEAT INSTALL AR REPAIR REROOF RESIDE MOVE WRECK $IGNE
Address
Address
contractors — 21...c..4—/ Address _
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
/a—/A—t. .
LOCK ADDITION OR TRACT
WIDTH • DEPTH SIDE LOT CLEARANCE - FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS:
❑ NO ! r i r
-4 1—I-7,_.
:tined hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
-es of the City of Oak Park Heights.Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY_