HomeMy WebLinkAboutOT 1981-1873 Fence FEE SCHED LE Permit No. 0
CITY BLDG. CITY OF OAK ?ARK HEIGHTS Plan No.
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT
CITY UTILITY
EXTERNA(, PLBG. APPLICATION FOR PERMIT
METRO S.A.C. / UTILITY CONNECTION Date / 1g Q / TOTAL AMOUNT DUE Q�J
STRUCTURE USED AS
REFRG HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER RE PAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I II ,p442-:-1 F I I BY X
1 ,-44 ' f
Owner Address
Architect Address
General Contractor Address
Cor)trastor Reg. No.
5/7 7 •
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/W/ Z -
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
/7o,
BASEMENT 0 YES DETAILS OR REMARKS:
0 NO
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The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with all ordinances of the City of Oak Park Heights. Contractors must register with the village before it can be "ssu-..
OWNER /CONTRACTOR SIGNED, ter tI II■rd!
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OK'D BY