HomeMy WebLinkAboutBP 198X-2026 Remodel Entry •
FEE SCHEDULE Permit No. (
CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE r 4 (For Dept. use only)
=ERMIT
— ILITY
A PLBG. APPLICATION FOR PERMIT
3.A.C.
CONNECTION /G/
Date / 19
AMOUNT DUE
STRUCTURE USED AS
REFRG . HAN.
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
u n n - C
Address
=t / Address
Contractor Address
--or Reg. No.
-g3 -mss/
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
c)
❑ YES DETAILS OR REMARKS:
❑
NO
4'',/C-1Y-- c-fe---L
ag ned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
7_es of the City of Oak Park Heights. Contractors must register with the village before permit can be issued.
OWNER /CONTRACTOR SIGNED --- %L(2+.e� // /• fi7.
OK'D BY (f