HomeMy WebLinkAboutBP 1983-2095 Pool Permit No.
FEE SCHEDULE v �S
_DG. 75/..5 d CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE
(For Dept. use only)
=ERMIT /7 7, 0-73
- ILITY d . 4 . V
AI PLBG. APPLICATION FOR PERMIT
CONNECTION 5 `
Date / 19
AMOUNT DUE
-- STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
I
n nnn
� -- -�-- -- /Ilk - � - • Address
7.2
Address
Contract. .& • . Address
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
SG
BL 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: / X 3
❑ NO
-coned hereby makes application for a permit to do Building Work as herein cified, agreein. to do all work in str t accordance with
:es of the City of Oak Park Heights. Contractors must register with the vill .e before • . n be e•
•
OWNER /CONTRACTOR SIGNED
OK'D BY