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FEE SCHEDULE ~ / Permit No. s //
J O CITY OF OAK PARK HEIGHTS Plan No.
_DG. 439 -4439 (For Dept. use only)
URCHARGE
-ECK
. LITY
ALPLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date g �— 1 9_Y
-AMOUNT DUE l 7J S--(7 STRUCTURE USED AS
REFRG HAN.
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK $ IGr;
r1 Z 1 I `I I Jl
A s . A ,_ -1 Jr� �� Address
Address
contractor 11 P 1 •ems Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
L K ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE _
4
4--. 1
❑ YES / DETAILS OR REMARKS: ❑ NO
_:fined hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict acc nce with
:es of the City of Oak Park Heights. Contractors must register with the village before permit can ii sued.
OWNER /CONTRACTOR SIGNED /,lll. i - /ZGCiF
OK D' BY
L