HomeMy WebLinkAbout1984-04-06 to 16 Banner Permit n n
FEE SCHEDULE Permit No. -K
CITY OF OAK PARK HEIGHTS Plan No.
1 G 439 -4439 (For Dept. use only)
JRCHARGE
'ECK
LITY
-AL PLBG. APPLICATION FOR PERMIT (�
Q.A.C. /
CONNECTION Dote 19e:-
—0
.MOUNT DUE
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
9/4 -
C n n n= u
Address
Address
contractor Address
or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
I BLOCK 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:
❑ NO
.:tined hereby makes application for a permit to do Building Work as herein specified, ag -eing to •o all work i st- ct ac; •r /nce with
:es of the City of Oak Park Heights. Contractors must register with the village before per an be issued.
OWNER /CONTRACTORSIGNE_ I
OK'D BY _ /