HomeMy WebLinkAboutPL 198x-2171 2 openings •
FEE SCHEDULE Permit No. -
CITY OF OAK PARK HEIGHTS Plan No.
.. O-O 439 - 9 (For Dept. use only)
JRCHARGE S O a A V
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CITY
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aLPLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date / 1 ? O 191_
:MOUNT DUE 7 i S STRUCTURE USED AS
REFRG HAN,
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG'
n n n n n- n= n_ n E
/0-r-<- -„3/ 4.1..A....."_44- Address
Address
Contractor Address
-or Reg. No.
3s- 5 Y
STREET SIDE BETWEEN WHAT CROSS STREETS
-- (Atfr&t, 515 -----
LOCK 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: '
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❑ NO
=coned 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 before pettigcan be issue¢.
OWNER /CONTRACTOR SIGNED t -1i,,, \til
OK'D BY _