HomeMy WebLinkAboutPL 1984-2269 Plumbing - Brekke Park Building FEE SCHEDULE Permit NoZ2 /
'2CITY OF OAK PARK HEIGHTS Plan No.
_JG. e ` `---C 439-4439 (For Dept. use only)
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HECK
LITY
.ALPLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date 9A-d 19d,
AMOUNT DUE �5 1 CO
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEATINSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG`-
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,r i t a9.1--,O,S 41 Address
_. / /� j / Address
lin1Zontract; -•—w ' --- +m_ Address 2__09_,......i/_ _ —'__.,...i.... .
-or Reg. No. / C` rtlifi t
.5500aSalasestici .
STREET SIDE I BETWEEN WHAT CROSS STREETS
i/4-A-1-"IL----.
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS: /C `G' 441c-4772
'
❑ NO
:.igned 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 n be issued.
OWNER/CONTRACTOR SIGNED�_i�_
OK'D BY_