HomeMy WebLinkAboutPL 1983-2061 Addition FEE SCHEDULE Permit No. d 6 /
DG. / L CITY OF OAK P RK HEIGHTS Plan No.
- URCHARGE , � l D L (For Dept. use only)
=ERMIT _? a /
ILITY
AL PLBG. APPLICATION FOR PERMIT
S.A.C.
CONNECTION 3`/�
Date 19Z
AMOUNT DUE
STRUCTURE USED AS
REFRG. HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
0 fzy 615/</ Address /V9/ C11/09( 6
=t Address
Contractor Fe do 074 Address )l\
' � Ox 14'30
c;.
- Tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
/ S
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
DETAILS OR REMARKS:
❑ YES
❑ NO
:igned 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 permit can be issued
OWNER /CONTRACTOR SIGNED � ..c�'
OK'D BY _