HomeMy WebLinkAboutBP 198x-2322 Addition •••■\
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FEE SCHEDULE / Permit No aZ
CITY OF OAK PARK HEIGHTS Plan No. 1
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439 -4439 (For Dept. use only)
SURCHARGE 7- e-
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— I LITY
4ALPLBG. APPLICATION FOR PERMIT
S.A.C. y
' CONNECTION Date � U
19
AMOUNT DUE ;, ,, JI /.S O STRUCTURE USED AS
REFRG HA
BUILD PLUMB. HEAT INSTAL ,— ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
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ri /_,, Address
=t Address
Contract ..,..... .CA,Z ..-,ate , Address
-Tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
5. - z,,
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
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O YES DETAILS OR REMARKS:
❑ NO
signed hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in st • accordance with
:ces of the City of Oak Park Heights. Contractors must register with the village before per n e ed.
OWNER /CONTRACTOR SIGNED ilS -1.
y 7 1.
OK'D BY _