HomeMy WebLinkAboutPL 1983-2100 Plumbing - 6 plex FEE SCHEDULE Permit No.,2 OQ
//,:2-4/ CITY OF OAK PARK HEIGHTS Plan No.
:URCHARGE �C f n /d (For Dept. use only)
=ERMIT !
-ILITY
A4 PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION
.� Date G- 9' 19 v3
AMOUNT DUE
dOr
7, 1 0
STRUCT JRE USED AS
REFRG. HAND
BUILD PLUM:--. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
x-\c, Let U t 'eyS Address
:t Address
Contractor RA-rnr-R ?1.106, Address ?IS.S. kLrna }vie__
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
7 S-4. o.x r rit
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: On t'>2
❑ NO
=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 villag- Vivre permit can be is
OWNER/CONTRACTOR SIGNED \ _
OK'D BY