HomeMy WebLinkAboutME 1984-2216 New Commercial /"•\ ,•• ••t
FEE SCHEDULEJ / t Permit NoL�/./ f
-DG.. ., D, c--a CITY d e PARK HEIGHTS Plan No.
(For Dept. use only)
-URCHARGE
=ERMIT 3a.S v
-ILITY
c LBG. APPLICATION FOR PERMIT
CONNECTION Date 1 ge--
AMOUNT DUE 31D•f0
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
C
Address /a?' /—� 9 .
_t Address
Contractor Address
-orReg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
a.�'. 9
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
0 YES DETAILS OR REMARKS: /37 6a 7 ..137-Wad
C] NO —14)/ 1
::led hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accord nce with
as of the City of Oak Park Heights.Contractors must register with the village before permit can .- issued.
OWNER/CONTRACTOR SIGNED /� ��'
/
O K'D B}�
FOR PERMITS OWLY