HomeMy WebLinkAboutOT 1984-2273 Window Replacement FEE SCHEDULE / Permit
_DG. CITY OF IA PAR HEIGHTS Plan No. ?3
` 439 -4439 (For Dept. use on l y )
SURCHARGE „3 .'t 7 0
.HECK
T ILITY
NALPLBG. APPLICATION FOR PERMIT
S.A.C. p
' CONNECTION /� �� ��� 0 Date /�� fig_
Cos: gn Q U
AMOUNT DUE STRUCTURE USED AS
REFRG
BUILD PLUMB. HEAT INSTALL ALTER R PAR REROOF RESIDE MOVE WRECK N S
_
I` UM I ^ I I
E''n /4 Li) • ■4464-0,CD Address / 14/-2 ' aT N.
Address
Contractor ?6 -1' f1.1.1 6.1.sz, Address 4 —
:tor Reg. No. / 3 ›A.0- .e .
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
O YES DETAILS OR REMARKS: AA Cam CsJ�NDewd
O NO Afaat J f . /Fe ee %re ee f w I TH.
Doc.lj' n 'g LC- /4
- signed hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
Tees of the City of Oak Park Heights. Contractors must register with the village before pe7an be i e
OWNER /CONTRACTOR SIGNED
OK'D BY
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