HomeMy WebLinkAboutOT 198X-2274 Reside FEE SCHEDULE /
'/ / - Permit No. dc /
602 S D CITY OF OAK PARK HEIGHTS Plan No.
� 2 439 -4439 (For Dept. use only)
J RCHARGE .3 . 2- 5
-IECK
LITY
aL PLBG. APPLICATION FOR PERMIT
CONNECTION Date / r
1911
MOUNT DUE / �9"r
S • �� T R CTURE USED AS
REFRG HAN;
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE J MOVE WRECK SIGN
LI 1 1 KI
I 1 Address A /add O et iv0
� Address
Q
e r
:ontractor C d z/J' I L Address 3.51 A414'wl1
- or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
_
-- tie
•
t
1 s 6 Aa,
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
Clee
p YES DETAILS OR REMARKS:
° NO Pesthilf
:fined hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance see
OK'D :es of the City of Oak Park Heights. Contractors must register with the village before permit c be issued. !/ °�.
OWNER /CONTRACTOR SIGNED �
OK'D BY _ _