HomeMy WebLinkAboutBP 198x-2117 Pool FEE SCHEDULE / • Permit No. `/
L CITY OF OAK PARK HEIGHTS Plan No.
7G. " /.S 4 / 439-4439 (For Dept. use only)
JRCHARGE /1 7.S
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LITY
-ALPLBG. APPLICATION FOR PERMIT i
Q.A.C. CC
CONNECTION Date 8 SI 19e
AMOUNT DUE 27/6.,d2�
STRUCTURE USED AS
REFRG HAN,
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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V id 8 . W I 1 -ton Address Jr' (O1-8 C i—�
Address
Contractor t h - M i?,v.v "S Address I 1436 o -Rob2r4" St W SJ'
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
4$Z6Q0c4
q cc""•-
❑ YES DETAILS OR REMARKS: 35-00 —
❑ NO
-gned hereby makes application for a permit to do Building Work as herein specified,a reeing to do all work in 1c accordance with
:es of the City of Oak Park Heights.Contractors must register with the village bef er it can be issued
OWNER/CONTRACTOR SIGNED -e& "i
A6/
OK'D BY ,