HomeMy WebLinkAboutBP 1983-2088 Enclosed Whirlpool & Bathroom Addition n.
FEE SCHEDULE Permit N
_DG. D.S7} ' CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE €2,--57) €2,--57) _� 0 /� (For Dept. use only)
=ERMIT \ -6..3 l _
-ILITY o 7 g3
4L PLBG. APPLICATION FOR P RMIT
A.C. l
CONNECTION Date - jam— S
19
AMOUNT DUE
STRUCTURE USED AS
REFRG
HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
St /7Q/7 n
Ie o GO
Address / b /
Address
Contractor ( Address
or Reg. No.
1 /39- 4
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 _
❑ YES DETAILS Cl REMARKS: /
O NO � hc / oe l t -� ' / 4J b ? /C too •w _i419-.
igned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all wor n strict accord nce with
:es of the City of. Oak Park Heights. Contractors must register with the village before •ermi an be i •d.
OWNER /CONTRACTOR SIGNED -
OK'D BY _ ,