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FEE SCHEDULE Permit No 7O ( Y- 3
a G ,. f CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE
D (For Dept, use only)
=ERMIT / � c11
!CITY / S GG
al PLBG. APPLICATION FOR PERMIT
CONNECTION
Date
AMOUNT DUE
STRUCTURE USE AS
REFRG . HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG's
F
' - Address
Address
ontractor Address
or Reg. No.
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
❑ YES DETAILS OR REMARKS: �
❑
NO fi ._ (I
:Toned 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 permit can be issued.
/
OWNER /CONTRACTOR SIGNED - fir. 1 %�4•
OK'D BY