HomeMy WebLinkAboutBP 1985-2317 Sewer & Water Connection FEE SCHEDULE Permit No: 3 /7
CITY OF OAK PARK HEIGHTS Pl No.
3G. 4394439 (For Dept. use only)
JRCHARGE
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LITY 67.
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ALPLBG. J( , APPLICATION FOR PERMIT
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CONNECTION �.30 0--141 Date `?,,1 19i5
.MOUNT DUE 8 D 8" . /1'Z) A °` W
STRUCTURE USED AS 7
REFRG HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
Li 1
Address
Address
:ontractor Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOC f / 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
gned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
:CS of the City of Oak Park Heights. Contractors must register with the village before permit be 'ssued.
OWNER /CONTRACTOR SIGNE_ �� /
OK'D BY