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OT 198X-2130 Re-Roof
FEE SCHEDULE / / Permit No. r,2/30 �G � ..5 CITY OF OAK F ' EIGHTS Plan No. 439 -4439 (For Dept. use only) JRCHARGE ,SO .ECK LITY ALPLBG. APPLICATION FOR PERMIT Q.A.C. CONNECTION Dote a ",f 1 p ▪ MOUNT DUE JiO ' STRUCTURE USED AS REFRG HANC BUILD HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN n n - J yC Address / 4 7 4 6- e 5-7 Address contractor Address / Agir. _ �&Si _ -or Reg. No. STREET SIDE BETWEEN WHAT CROSS STREETS j BLOCK ADDITION OR TRACT WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE vvel. ©C / O YES DETAILS OR REMARKS: ` tee ❑ NO :tined hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict . - ordance with :es of the City of Oak Park Heights. Contractors must register with the village bef permit be i OWNER /CONTRACTOR SIGNED N � v OK'D BY _