HomeMy WebLinkAboutBP 198x-2181 Basement _ 3 c----`' k- �/3
FEE SCHEDULE /, ' Permit No. c2/ (J
�� 5G� CITY OF OAK PARK HEIGHTS Plan No.
G. 439 -4439 (For Dept. use only)
JRCHARGE 3 •,.�i d
ECK
_ITY
ALPLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION Date ` 19L
MOUNT DUE (O 6 I o--c * ‹'� r_. -4-
STRUCTURE USED AS
REFRG
HAW
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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Ah a Address
I Address
:ontractor, »- - a_e-Q4. ' eo a Address
-or Reg. No.
513 Y- 9s '( -
STRREEET SIDE BETWEEN WHAT CROSS STREETS
.3 6 - ,42/. eZA. . ›A.
1 BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ,ESTIMATED VALUE
" `
p YES DETAILS OR REMARKS:
❑ NO
:tined 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 permi can be i ed.
OWNER /CONTRACTOR SIGNED I
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OK'D BY_,