HomeMy WebLinkAboutBP 198x-2206 Addition FEE SCHEDULE Permit Na. aa6
2C,a� CITY OF OAK PARK HEIGHTS Plan No.
�G 439 -4439 (For Dept. use only)
JRCHARGE
-IECK
LITY
aLPLBG. APPLICATION FOR PERMIT
Q.A.C. y -
CONNECTION Date 19
-MOUNT DUE GJ 7.
1 STRUCTURE USED AS
REFRG 4 • NAN(
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
n n u
A) (., / z e Address / f S ? h S7 AJO,
Address
Contractor Address
--or Reg. No.
7 39 - , 2 7o
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
l . G ��� rs T/
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
coo, o0
O YES ( ' DETAILS OR REMARKS:
Q NO
:mined hereby makes application for a permit to do Building Work as herein specified agreeing to do all work in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village befo p mit c be issu
OWNER /CONTRACTOR SIGNED 'C'�� L+-
OK'D BY