HomeMy WebLinkAboutPL 198x-2237 Addition FEE SCHEDULE Permit No. r". .. 7
r
�y CITY OF O AK PARK HEIGHTS Plan No.
_JG. l / ' 439 -4439 (For Dept. use only)
:URCHARGE
-ECK
;LITY
-AL PLBG. APPLICATION FOR PERMIT
3.A.C. G
CONNECTION Date 191
AMOUNT DUE /Id S V STRUCTURE USED AS
REFRG HAIN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
5 l __ __ C
.....e, ' A / A Address
or
_, Address
Contractor ) Address .." /� _ _,_ .
-or Reg. No. / J
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
/ 7�
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS: �] p
❑ NO `
:gned hereby makes application for a permit to do Building Work as herein specifies agreeing to do all rk in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village befo a % it can be i
OWNER /CONTRACTOR SIGNE• ■
•�N" "`�I c"
O''D BY
•