HomeMy WebLinkAboutME 198X-2385 AC Install FEE SCHEDULE 7 - Permit No. 2 3 8s
DG, CITY OF riAK PARK HEIGHTS Plan No.
(For Dept. use only)
JRCHARGE '`
ERMIT
LITY
L PLBG. APPLICATION FOR PERMIT
CONNECTION Date-oni 19
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C 4 STRUCTURE USED AS
REFRG I
HAN:
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
.4UX: 8/ 6 X , Address
Address
_ontractor t' . ,A eL _,,P Address
Dr Reg. No. 9 9'
c /f STREET SIDE BETWEEN WHAT CROSS STREETS
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BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
D YES DETAILS OR REMARKS: _'v_
O NO ( 0C ec.�r' f.C,n e.P. ���
it, od D 3 = 7 ` - Z�. ,ern 73 eo A-
ned 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 be issued. a-01 ee_
CAA OWNER /CONTRACTOR SIGNED �Glc c+-/)
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