HomeMy WebLinkAboutPL 1983-2103 Remodel 443 9 p �
FEE SCHEDUL_E Permit No. /'x- /9
CITY OF OAK PARK HEIGHTS Plan No.
_DGi.
J
ARGE • J ' e 11 L ?
= RM T
(For Dept. use only)
- ILITY
A4 PLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION
Date 7 ' 7 ' 1
AMOUNT DUE �•
STRUCTURE SED AS
REFRG . HAN,
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
Address ` ‘4( 9 0;,
-' Address
contractor Address
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
45
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 OR REMARKS: / [
❑ NO
mined hereby makes application for a permit to do Building Work as herein s led, ag eing to do all w• accordance with
:es of the City of Oak Park Heights. Contractors must register with the vil a before rmit c n be ' . .
OWNER /CONTRACTOR SIG ED
OK'b BY _ _�