HomeMy WebLinkAboutBP 1984-2166 Alteration L/ /`
FEE SCHEDULE . L%LP P ermit No. •
_DG,. /,2 ., \bra CITY " • "PARK HEIGHTS Plan No.,..2./ .
JRCHARGE 8.5-0 / ^_S (For Dept. use onl
=EPMIT !!! !!!!!! `�
ILITY
AC APPLICATION FOR PERMIT
CONNE TION
.44,,x. 7g. e•.3 Date 19
AMOUNT DUE
PI/G%_� STRUCTURE USED AS
REFRG . HANG
J BUILD PLUMB. HEAT INSTALL AL REPAIR REROOF RESIDE MOVE WRECK SIGN
��� Op M Address 53 .2 9 ? ev 4v - Al ..._ 1,, _::t _ . Address
T
Contractor �ti,( < ABC /s"� 6r ..Address ' ! I +
or Reg. No. /
0 9/ /9"Y — /Iii► /ekvn --
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ' ESTIMATED VALUE
❑ YES DETAILS OR REMARKS:
❑ NO
ianed hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
ces of the City of Oak Park Heights. Contractors must register with the village before p nit can be issued. •
d
(AMOK/CONTRACTOR SIGNED � �% a
OK'D BY