HomeMy WebLinkAboutBP 1984-2244 Remodel n
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FEE SCHEDULE / ( Permit No. °
CITY OF OA PARK HEIGHTS Plan No.
DG. aDSQ
//-- 439 -4439 (For Dept. use only)
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Li-ECK f3. 33
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ALPLBG. APPLICATION FOR PERMIT _4
- S.A.C.
-'' CONNECTION Date 19
AMOUNT DUE C 3y 73 STRUCTURE USED AS
REFRG HAN
BUILD PLUMB. HEAT INSTALL `r _. ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
ES 17 C
Wks hiA C.IA .e.Ab16 TV 0_p . Address 14461 (
=t Address
Contractor .�i s i� — .- - .,
- _ ; i r Address
--Tor Reg. No. .h�t7et.q - e- KS' l �°/� •tSkr( c -4't 't /
v �Gl y,3, -- _1' h
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
iaot0 --
o YES DETAILS OR REMARKS: .,/4J/ s /oi'u'ay.
O NO CPee-4 1 WaI IS — In` ) I w cs. ( t 4C '.
igned hereby makes application for a permit to do Building Work as herein specified, agreeing t o all work in strict ac rdance with
- s of the City of Oak Park Heights. Contractors must register with the village before permit c issued.
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OWNER /CONTRACTOR SIGNED
OK'D BY _