HomeMy WebLinkAboutPL 1983-2058 New Single Family n
FEE SCHEDULE Permit Nod 5
_DG. D. co CITY OF OAK PARK HEIGHTS Plan No.
=URCHARGE . 50 (For Dept. use only)
=ERMIT .., . S d
- ILITY
A6 PLBG• APPLICATION FOR PERMIT
_.A.C.
CONNECTION IA `% Date 3 /e 19` -
o AMOUNT DUE
STRUCTURE USED AS
REFRG. HAN(
BUILD PLUMB. HEAT INSTALL. ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
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GHQ -�'p�' A ddress ��
_t Address
Contractor 1 • // . / 4 _. Address /5 k � y /Y� n U �
de
—or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
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# A k 1 BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
O YES DETAILS OR REMARKS: // -�
O NO / . � 47-j-j
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- mgned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict acc ance with
L'es of the City of Oak Park Heights. Contractors must register with the village before permit can be issue JL
OWNER /CONTRACTOR SIGNED
OK'D BY _