HomeMy WebLinkAboutME 198x-01926 Gas Fire Furnace FEE SOHEDULE Permit No. f 9076
_DG. \?0, OQ CITY OF OAK PARK HEIGHTS Plan No.
SURCHARGE ..5V (For Dept. use only)
=ERMIT .gose>
-ILITY
-AL PLBG. APPLICATION FOR PERMIT
3.A.C.
CONNECTIONDate 2 19
AMOUNT DUE {
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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KIFli. iiLf E
Ted Kalinoff Address 6143 Osgood Ave, North
_` Address
Hoffman Ref. & Htg. Servo
Contractor Goorrj KennPtz Address 1940 South Greeley St.
--or Reg. No.
CO ,S,TREET SIDE BETWEEN WHAT CROSS STREETS
V
I BL CK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
I/v7(9'
❑ YES DETAILS OR REMARKS:
❑ NO install Heil Energy Marshall_ gas fired furnace
-igned 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 befo e per . can be issued.
OWNER/CONTRACTOR SIGNED -ST--e,4 /le -
�i i, r/
OK'D BY_ _ Of'
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