HomeMy WebLinkAboutBP 198x-2260 Basement / -
FEE SCHEDULE e' / /�, Permit No. r7
‘8 , s-0 CITY'• F •A 'ARK HEIGHTS Plan No.
_�G. 439 -4439 (For Dept. use only)
_URCHARGE 3..3 5
=ECK
ILITY
.ALPLBG. APPLICATION FOR PERMIT
S.A.C.
CONNECTION Dote 1 9
AMOUNT DUE 7,A, , 3 S' — STRUCTURE USED AS
REFRG HAN
BU PLUMB, HEAT INSTALL � � ALTER REPAIR REROOF RESIDE MOVE WRECK S
2 m _.- - Address
=t Address
Contracti v . Address
- -or Reg.
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
77e-0.f/1D
O YES DETAILS OR REMARKS: p
❑ NO
signed hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
yes of the City of Oak Park Heights. Contractors must register with the village before permit can e i ed. •
OWNER /CONTRACTOR SIGNED r / / . �(.(iY� ���C2s—/
OK'D BY _