HomeMy WebLinkAboutBP 198x-1986 Alter-Repair 9-3
FEE SCHEDULE Permit No.
DG l�ly,s`j� CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
URCHARGE /(f
=ERMIT 7 5 ' / 3
ILITY n nols 6 04
PLBG. A PLICATION FOR PERMIT
CONNECTION Date
AMOUNT DUE
STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
E
Address
Address
Contractor .J,/fLd-a- • Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
fir/`-® .
❑ YES DETAILS OR REMARKS:
❑ NO
-maned hereby makes application for a permit to do Building Work as herein spe ified, agreeing to do all work in strict accordance with
es of the City of Oak Park Heights.Contractors must register with the village a.re per it •. .e issued.
Ai
OWNER/CONTRACTOR SIG
OK'D BY_