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FEE SCHEDULE Permit No. , 1._ 1 I
CITY BLDG. N7 CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
STATE SURCHARGE ..('
BLDG. PERMIT
CITY UTILITY
EXTERNA` PLBG. APPLICATION FOR PERMIT
METRO S.A.C. `1
UTILITY CONNECTION Da _ I _ �9 �2
. ... - TOTAL AMOUNT DUE L�Q
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES X1 I I [ 1 n C n C
Owner i Address Pie( 4 -4 at. " 4 11: ((CAA /kid 1 7
Architect Address
General Contractor -8P Address] ( u't 1 Y C 0) Aid -,
Contractor Reg. No. Q (1,1 0
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
t cL CLAtx-. A/. � '� c* t 51 Q2 (a-C
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT INC. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS: S`v� n 3 t L �� �•
BASEMENT
0 NO
The ! u � ndersig eZ e6y app ca iodfor ermff'{6do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. ontractors must register with the village before permit can be issued.
OWNER/ CONTRACTOR SIGNED
OK'D BY