HomeMy WebLinkAboutBP 1982-1937 Pool FEE SCHEDULE Permit No. /9
_DG. _U CITY OF OAK PARK HEIGHTS Plan No.
:URCHARGE (For Dept. use only)
=ERMIT
- ILITY
A4 PLBG. APPLICATION FOR PERMIT
A.C.
CONNECTION Date /
AMOUNT DUE
STRUCTURE USED AS
REFRG v y/(/ HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
►; nnn LI
Iv) i2S. E'b Address 5 736 '4 /4 RoSiC
Address
Contractor 5T r9✓laS ' PD o -S Q- Address /3 i 4 o m - Q
- -or Reg. No.
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
I 3G 111000
❑ YES DETAILS OR REMARKS:
❑ NO
gned hereby makes application for a permit to do Building Work as herein specified, agreei g • do all work in .trict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village before per i / be i :•A•d. I /
OWNER /CONTRACTOR SIGNED �
• OK'D BY