HomeMy WebLinkAboutBP 1982-1940 Alteration ?s, 7 3 dam. ff Y/c/� 9�v
FEE SCHEDULE Permit No.
DGI. /16' ,Sj)_ CITY OF OAK PARK HEIGHTS Plan No.
8',5� (For Dept. use only)
I
JRCHARGE
ERMIT 1,2 C/ 35l
LITY
PLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION Date 9" 2. 1
-,MOUNT DUE V _b}
STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
F
1) q 44) Address
__ Address
:ontracto ..01:•1/ gt - = %/ , / Address
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
/ 7'-- '
DETAILS OR REMARKS:
D YES
p NO
-signed hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
:ces of the City of Oak Park Heights.Contractors must register with the village before�peermmiit can b issued.
OWNER/CONTRACTOR SIGNED�'1— `u'N
OK'D BY