HomeMy WebLinkAboutBP 198x-2143 Addition - Family Room & Garage FEE SCHEDULE /'` Permit No.
/7v , Y • F •AK PARK HEIGHTS Plan No.
— ' G 439 -4439 (For Dept. use only)
URCHARGE 7 . 5 d
=ECK
t LITY
•AL PLBG. APPLICATION FOR PERMIT
3.A.C.
CONNECTION ) Date /a 9
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AMOUNT DUE / / ij o-- e�
STRUCTURE USED AS
R E FR G HAN
BUILD PLUMB. HEAT INSTALL ® �" ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
Mid ] L
Adress �7 _t Address
j
Contractor 004 Oy t /t4K5 Address
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
B OCK ADDITION OR TRACT
•
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
i
❑ YES DETAILS OR REMARKS:
❑ NO
:Igned hereby makes application for a permit to do Building Work as herein specified, agreeing tod�o�all work in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village before pe be '
OWNER /CONTRACTOR SIGNE
OK'D BY