HomeMy WebLinkAboutBP 1983-2051 Remodel FEE SCHEDULE Permit No.
_DG. // .� CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE cy. e)—r) (For Dept. use only)
=ERMIT /oc.
—ILITY g� , 7 S S3
Al. PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date 1-19 19
AMOUNT DUE el!)i C
•
STRUCTURE USED AS
REFRG. HAW"
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG"
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Address kFG O PQ's' ' WC J i S
Address
Contractor IOU Look 1 .0 ej'evS Address e!=' [. E 04p/6 a4mr t.,
--or Reg. No.
(.2.3 — ,R3s`s
STREET SIDE BETWEEN WHAT CROSS STREETS
- 6a .
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
fi 9600OD
❑ YES DETAILS OR REMARKS:
❑ NO
_fined hereby makes application for a permit to do Building Work as herein specified,agreeing to do all wor in strict accordance with
7.es of the City of Oak Park Heights.Contractors must register with the village bef4 p slued.
OWNER/CONTRACTOR SIGNED---1 —
OK'D BY