HomeMy WebLinkAboutOT 198x-2243 Residing FEE SCHEDULE - Permit No. °?2
_: _DG. �T(® 0 F aAK PARK HEIGHTS Plan No.
439 -4439 (For Dept. use only)
SURCHARGE -.2, �<
CHECK
2TILITY
RNALPLBG. APPLICATION FOR PERMIT
S.A.C.
-- Y CONNECTION .. 19-_-_
`
AMOUNT DUE 5g, O.S •
� STRUCTURE USED AS
V
REFRG HA'
BUILD PLUMB. HEAT INSTALL ALTER REPA WRECK SIC
IR REROOF RESIDE MOVE WK
=ES n - g _ - - H E
/-lOGtrt . Address / ` S--" /(/
-=ct / J � (� )J Address
=i Contractor s - G(1., i di...0 6i)U ' ddress A452 t:S /- 1'-
-tor Reg. No. .P4.44.< 5"S//
739 -0/ 79
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
Q YES DETAILS OR REMARKS: e �� � _
Q NO
signed hereby makes application for a permit to do Building Work as herein specified, agreein to do all work • # Ict accordance with
pe�
ices of the City of Oak Park Heights. Contractors must register with the village beforer t can be issu • •. /%' p
OWNER /CONTRACTOR SIGNED w tir, .f2, 3" A46r/
OK'D BY �cC //�