HomeMy WebLinkAboutBP 198x-2184 Remodel FEE SCHEDULE I ' Permit No.
3G. 4
� , C° CI • eA 'ARK HEIGHTS Plan No.
439 -4439 (For Dept. use only)
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LITY
ALPLBG. APPLICATION FOR PERMIT
CONNECTION Date 9 Se ____42_,c)_
AMOUNT DUE ..�J`�,.5 d STRUCTURE USED AS
REFRG HAN(
BUILD PLUMB. HEAT INSTALL --.. ALTER REPAIR REROOF RESIDE MOVE WRECK SIG^
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'� Address
Address
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Contractor ���� ,U�u ' -> > Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
-5 7 bi"
,)le .
i 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
::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 iss�led.
OWNER /CONTRACTOR SIGNED � /7'41l 4,C./ C
OW' D BY _ I