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FEE SCHEDULE 1 Permit No. -_.Z, 5-0
....DG. /Jo 5-b439-4439
OF OA ARK HEIGHTS Plan No.
439-4439 (For Dept. use only)
SURCHARGE /2 ,S-a
HECK
-ILITY
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ALCLBG. APPLICATION FOR PERMIT 7
'CONNECTION Date /g j/ 1
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AMOUNT DUE � �
TRUCTURE USED AS
REFRG HAt-
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
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Address
=t Address
Contractor I/0.--r7-4,1/4.114._„&g,-pe-,--12—- Address / ,
-Tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
4/` cam - * ,2 '
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
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❑ YES &-'2"-f2-- DETAILS OR REMARKS: o X �_0 iedi /f. -
❑ NO eC". -4-1C,C vV-i,ei-i,t_t__dz./
gned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict ccordance with
zes of the City of Oak Park Heights.Contractors must register with the village before permit c n be'issued.Q -
OWNER/CONTRACTOR SIGNED fi $�
OK'D/BY`_