HomeMy WebLinkAboutBP 198x-2275 Bath FEE SCHEDULE Permit No.
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-d CITY OF OAK PARK HEIGHTS Plan No.
439-4439 (For Dept. use only)
URCHARGE / i
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.LITY
.ALPLBG. APPLICATION FOR PERMIT
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S.A.C.
CONNECTION Date -2 19 -
AMOUNT DUE 3 T, G V STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG'
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A.,.,__Le_ riL''
,..„7,) Address
-' Address
ontractor ae-41uti _t_. e. Address
--or Reg. No.
STREET I SIDE 1 BETWEEN WHAT CROSS STREETS
434 i L .
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ' ESTIMATED VALUE
c2 FS.-,
O 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
:es of the City of Oak Park Heights.Contractors must register with the village before permit , be issued.
OWNER/CONTRACTOR SIGNED,be / V"
OK'D BY_