HomeMy WebLinkAboutPL 1983-2109 Water & Sewer Fees - Restaurant FEE SCHEDULE rOt 7° /F Permit No. /G
CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE
(For Dept. use only)
=ERMIT
ILITY 60.Oe
A` PLBG. i � 8S 04 APPLICATION FOR PERMIT
Q.A.C.
CONNECTION _ ___ O
Date ,
AMOUNT DUE
l 9 STRUCTURE USED AS
REFRG. HAN, .
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
� L--t n l Address l 39 C7 4 r i O /
Address
Contractor d 1 1 - 0 ; 1 1 f t2.i cI Address Cr/ �` /u/e4
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
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
: :gned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
:es of the City of Oak Park Heights. Contractors must register with the village before per . it can e i qd
OWNER /CONTRACTOR SIGNED
OK'D BY __