HomeMy WebLinkAbout1983-11-07 to 17 Banner Permit r
FEE SCHEDULE Permit No. o.LJS 2
1/ CITY OF OAK PARK HEIGHTS Plan No.
�G. 439 -4439 (For Dept. use only)
JRCHARGE
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LITY
ALPLBG. APPLICATION FOR PERMIT
CONNECTION U '��"''/ ` -� Date �� /, 9 !�
▪ MOUNT DUE • /// p ` / 7/ 3 STRUCTURE USED AS
REFRG HANC
BUILD PLUMB. H EAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
= u. Ia - u
Address
Address
ontractor Address
or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
Ca
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
•
O YES DETAILS OR REMARKS:
❑ NO
signed hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village before per, mit can be issu
OWNER /CONTRACTOR SIGNED )c 1 044`
OK'D BY