HomeMy WebLinkAboutPL 1984-2191 New Commercial 11;e°
FEE SCHEDULE Permit No.21 71
G. o1-0`10 CITY OF OAK PARK HEIGHTS Plan No.
i i,
JRCHARGE � � V ? _ jl C q (For Dept. use only)
O
ERMIT C73J S° I'l 7/ tl
LITY o
PLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION 7 C Date L/ 6 19i
-MOUNT DUE p� J
'WUCTURE UD AS
REFRG. HANC
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG',
U C
W& e y f YdS Address
Address
:ontractor �—YYN totR PL\06 1'G Address gJ6--s tti/ i'
or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
0 ear pkvc No
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS:
❑ NO
3ned h reby mak pplication for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
3s of the City of Oak Park Heights.Contractors must register with the village •re permican be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY..