HomeMy WebLinkAboutPL 1984-2289 New Construction FEE SCHEDULE Permit No. �� O J
a a-� CITY OF OAK PARK HEIGHTS Plan No.
_ 439 -4439 (For Dept. use only)
URCHARGE r 675 0 /,
=ECK
-: LITY
- AL PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION Date �� 3 19s4
AMOUNT DUE 0 5 5S C) STRUCTURE USED AS
REFRG
HAN
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
C .cam -.,.) Address
-t Address
Contractor ` ` . Address
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
Le -zl✓ L .
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS: 7
❑ NO
fined hereby makes application for a permit to do Building Work as herein specifi• : agreeing do all work in strict accordance with
yes of the City of Oak Park Heights. Contractors must register with the village be • • permi n be issued.
OWNER /CONTRACTOR SIGNED `
OK'D BY _