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FEE SCHEDULE Permit No.- 7 ( .� 5 f J
_DGI. 7. C'-C' CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE , ..51.". (For Dept. use only) I
=ERMIT Y 61
ILITY
A PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION /� ( ,, Date 2- Z —
L � � 19_
AMOUNT DUE (' `� .,..c" L.oe —e « `
STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL ll ^I � � ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
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L — 2�,.. ! •��n_ EJ Address /C`. 4. --—`(- C :.
-' Address
Contractor`r 7. e 74 ,fr o . L-- . ---C p .cam , Address
-or Reg. No.
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
o YES DETAILS OR REMARKS:
7/ - -14 < ---- ---
Q NO
=tined 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 bef. e permit can be issue j f
OWNER /CONTRACTOR SIGNED , , �i'L��- ' /- 1�
OK'D BY _