HomeMy WebLinkAboutOT 1983-2069 Reside "1
FEE SCHEDULE Permit No 7 u1 6
_DG.. -.3, •w CITY OF OAK PARK HEIGHTS Plan No.
SURCHARGE /1 (For Dept. use only) I
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AL PLBG. APPLICATION FOR PERMIT
S.A.C. <
CONNECTION t'�
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Date
AMOUNT DUE 3- 0 J
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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_ �. A /A 4/ - -4-440• -
'- ' Address
_' Address
Contractor 4,2_/...4_, ,, ______--,,. Address
--or Reg. No.
n STREET SIDE BETWEEN WHAT CROSS STREETS
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BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
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❑ YES DETAILS OR REMARKS:
❑ NO
-rgned hereby makes application for a permit to do Building Work as herein speci . ., .• -. : • .• all rk in ict a ordance with
yes of the City of Oak Park Heights.Contractors must register with the village be •'e pe it c�` '„ .-.
OWNER/CONTRACTOR SIGNEfI�
OK'D BY