HomeMy WebLinkAboutBP 1985-2252 Wall Fire-Proofing & Residing FEE SCHEDULE / Permit No. r� S7,2.—/
c CI i s ' K 'ARK HEIGHTS Plan No.
.DG. // [ rJ 439 -4439 (For -3 Dept. use only) '
SURCHARGE . 5
:HECK
-ILITY
NALPLBG. APPLICATION FOR PERMIT
S.A.C.
CONNECTION D }e /? d 19 S
AMOUNT DUE /9, S3 STRUCTURE USED AS
REFRG
HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
ES
.^ I` ^J ^ I H EERORO U C
• • .„„ . -/ / Address
= =t Address
Contractor aJ , ,.....7, Ate/ Address
-Tor Reg. No.
x idy - -3 6 'c1
STREET SIDE BETNF1 WHAT CRO - ETS
G v y� - - Z
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF •- OF • - ON ESTIMATED VALUE
/o 6
p YES
DETAILS , OR REMARKS: '
p NO � f� /^
/ ,L 9
signed hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
yes of the City of Oak Park Heights. Contractors must register with the village before permit an .e issued.
OWNER /CONTRACTOR SIGN.E-Erk?
OK'D BY _