HomeMy WebLinkAboutBP 1985-2354 Repair � /
FEE SCHEDULE !
i iPermit No.c. Y
6 CITY Of!eA PARK HEIGHTS Plan No.
_DG. �� 439 4439 (For Dept. use only)
SURCHARGE —`L, c"
_HECK
-I LITY
NAL PLBG. APPLICATION FOR PERMIT
S.A.C. G
'CONNECTION Date , 7 19c
AMOUNT DUE -13 . a"•ct •
STRUCTURE USED AS
REFRG HA
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIC
ES • n _ - L
-4-- -�0`-i 0/7i-L-s- 2 Address
_:t Address
Contractor {-, _.-t _/ Address
:tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
,r;-- 7,Z.
BL ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
05}
❑ 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
-Ices of the City of Oak Park Heights.Contractors must register with the village before per can be issued. �J� �
OWNER/CONTRACTOR SIGNED 42 . 4/I •C1 - '
OK' BY