HomeMy WebLinkAbout1983-12-7 to 17 Banner Permit FEE SCHEDULE Permit No.O -Y 2
CITY OF OAK PARK HEIGHTS Plan No.
�G 439 -4439 (For Dept. use only)
_URCHARGE
-ECK
LITY
.ALPLBG. APPLICATION FOR PERMIT
CONNECTION c Date J I/oZ 7 19�,
AMOUNT DUE
STRUCTURE USED AS
REFRG HAN,
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGH
��•�+�+^� p•-� Address
a� Address
Contractor Address
- -or Reg,
STREET SIDE BETWEEN WHAT CROSS STREETS
d
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:
❑ NO
_rgned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all ork in strict accordance with
zes of the City of Oak Park Heights. Contractors must register with the village before } ed.
OWNER /CONTRACTOR SIGN
OK'D BY