HomeMy WebLinkAboutBP 1982-1964 New Single Family FEE SCHEDULE Permit No. � / !...,
_DG1. CITY OF O ` / ` R HEIGHTS Plan No.
SURCHARGE / 7' , /p / (For Dept. use only) I
=ERMIT a / t 0- /��
/ 111 A
- ILITY (ti •_
A4 PLBG./I�� APPLICATION FOR PERMIT
Q.A.C.
4
CONNECTION .....34171 0, dzi Date l - /I ! t2
AMOUNT DUE / rr-d
A--
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
l [1 _ U U E
'4i�lf' E__....,...,_ .--�. Address ___F7 �� - °�
-, Address
Contractor ....r... - Address
or Reg. No.
,
STREET SIDE BETWEEN WHAT CROSS STREETS
B LOCK ADDITION OR TRACT
(
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
),(33? ,
❑ YES , -
DETAILS OR REMARKS: /
❑ NO
-tined hereby makes application for a permit to do Building Work as herein specified, agreeing to do all w• rk in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village before permit can be i ed.
OWNER /CONTRACTOR SIGNED < •
OK'D BY