HomeMy WebLinkAboutBP 198x-1949 Entry FEE SCHEDULE Permit No.
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_7G,. CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
URCHARGE
ERMIT
- ILITY
AI. PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date ..5 3 19L_
AMOUNT DUE ,/ft�.�pf�
STRUCT E USED AS
REFRG kk'' HANC
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
�., ,ems .:. % Address
Address
Contractor Cam A --x-A- v-- -Z--'— Address
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
L ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
Y u
�d
O YES DETAILS OR REMARKS:
❑ NO
lgned hereby makes application for a permit to do Building Work as herein specified, greei g to do all work in stric :ccor.ance with
:es of the City of Oak Park Heights. Contractors must register with the village before p
OWNER/CONTRACTOR can • i �;v• • / A I I PALL . CONTRACTOR SIGNED, - '.A-1 . / __
'
OK'D BY _