HomeMy WebLinkAboutPL 198x-2007 Plumbing FEE SCHEDULE Permit NoG 49 n 7
DG,. 09 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
JRCHARGE i S
ERMIT
LITY
=L PLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION Date
-MOUNT DUE
STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN-
X
S (1 P �o i. / Address
Address
:ontractor ZZ AI /741, Address XI ,/ �� y .S? SY:
or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
-4c1.01-,
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: 6
❑ NO
tined hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
as of the City of Oak Park Heights.Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY