HomeMy WebLinkAboutBP 1983-2151 New Office Bldg. FEE SCHEDULE teff Permit No. ra/ S
_DG. !o F13 CI • - • K PARK HEIGHTS Plan No.
URCHARGE/0-0 •Cry (For Dept. use only)
=ERMIT
-ILITY 7tl--�
AL PLBG.FSO APPLICATION FOR PERMIT
Q.A.C. ,/
CONNECTION ��sC —1y
-3ittj /'
Date / 19_L
AMOUNT DUE
�RUCTURE USED A
REFRG. HANG
BUILD LUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK i IGr
J
151AYIA Ft75 Address Ggeti 01414411,4- 44C MO
=t Address
Contractor i110;t91/4,A. Address l& _ 3 7/cr •S • 7`
rR Reg.eg 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 STIMATED VALUE
0160,ear
❑ YES DETAILS OR REMARKS:
❑ NO
signed hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
yes of the City of Oak Park Heights.Contractors must register with the village be reit cane ed.
OWNER/CONTRACTOR SIGNED v( j(/(U`0 '1U"'
OK'D BY_ ' �� '