HomeMy WebLinkAboutBP 198x-2232 Repair & Window ?
FEE SCHEDULE Z
Permit
CITY OF OA ' ` ' K HEIGHTS Plan No.
JG 439 4439 (For Dept. use only)
JRCHARGE
-CK
LITY
PLBG• APPLICATION FOR PERMIT
CONNECTION Date // S 191_
.MOUNT DUE A10 r)"� STRUCTURE USED AS
REFRG HAN(
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
Address
Address
:ontractor . _ _ !. ` _ _ _ - Address -4 yd -
-or Reg. No. `�� c/ - 7O 113
STREET SIDE BETWEEN WHAT CROSS STREETS
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:
❑ NO
_tined 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 ca a issued..,, -
OWNER/CONTRACTOR SIGNED/
OK'D BY