HomeMy WebLinkAboutPL 1983-2102 Add to PL 2100 - 6 plex FEE SCHEDULE Permit No.c-2
DG.. /� CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
JRCHARGE /A . 0-0=ERMIT /A . O"0
ILITY
PLBG. APPLICATION FOR PERMIT
CONNECTION /p p /I 7`-() /716—A---
�jj / i Date 3— 19: 3
AMOUNT DUE (�
STRUCTURE USED AS
REFRG. HAN(
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN.
t Address
Address
Contractor/,- A 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.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS: /
❑ NO
f'77_,-../
-f:gned 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 can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY