HomeMy WebLinkAboutPL 198X-2355 4 openings FEE SCHEDULE Permit No S c
CITY OF OAK PARK HEIGHTS
439-4439 Plan No.
�G.
(For Dept. use only)
JRCHARGE
=ECK
LITY
aLPLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date d 19
AMOUNT DUE //: S' d •
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG^
Address
Address
Contra o Address
-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
p YES DETAILS OR REMARKS:
O NO
=gned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all-work ' 'strict accordance with
:es of the City of Oak Park Heights.Contractors must register with the village b e permit c •
OWNER/CONTRACTOR SIGNE f
OK'D BY