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FEE SCHEDULE 1 t`�
CITY BLDG..
0 d CITY OF OAK PARK HEIGHTS Permit 1
Plan No. .
STATE SURCHARGE (For Dept. use only)
BLDG. PERMIT 4,8.7')
CITY UTILITY
T, PLBG. APPLICATION FOR PERMIT
METRO S.A.C. S.A
UTILITY CONNECTION
TOTAL AMOUNT DUE � Q i.J.3
STRUCTURE USED AS
REPRG BUILD PLUMB HEA INSTA �"
HANG
MARK
SQ I 1 ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN 1 UARES _^ ' —_ 1 1 _— I ^I Ir
BYX 1 C
Owner/ a 4 Address , �C —
dress L-1`="1- f'}l
Architect Address
General Contractor l k C1---1"1.-\i. 0 ti 4 Address p0 1 cia, —{, Q.,1-LL-4'
Contractor Reg. No. Q- 4 L✓\ (.' ,,11 I
�' ''� t1�.��n o .LA X1Z .
NUMBER STREET SIDE �� ?, _ I�s-� y � BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
1 O WID I �(�Q�� DEPT SIDE LOT CLEAR
FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
oe
BASEMENT
p No , •i L , , O vES D ETAILS OR REMARKS:
—
1
The undersigned hereby makes application for a permit to do B Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights. Contractors must register with the village b e permit can b, issu
OWNER /CONTRACTOR SIGNE R /JC JC - �Z
OK'D BY