HomeMy WebLinkAboutPL 1984-2262 Addition FEE SCHEDULE Permit No. c::= l.+ 2—__
CITY OF OAK PARK HEIGHTS Plan No.
_DG. // ct—° 439 -4439 (For Dept. use only)
URCHARGE . /..1
=ECK
-. LITY
.ALPLBG. APPLICATION FOR PERMIT
Q.A.C. 'I ti O // _
aG r
CONNECTION / Date . / 1 9S
AMOUNT DUE //r 5 -6)
/
STRUCTURE USED AS
REFRG HANG
IGN
BUILD PLUMB. H EAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK $
n n n U
n =
. Address
/ Address
Contractor Address
—or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
n
I BL K 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: y
724-e.—,4-.—/..-
❑ NO
=fined 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
OK'D BY