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FEE SCHEDULE 'id Permit No. 236
3. . Co C • • 'k PARK HEIGHTS Plan No.
�G l 439-4439 (For Dept. use only)
a
URCHARGE 1. 0 1
HECK
LITY
ALPLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION Date 7 - ...D.- 19 6.
MOUNT DUE 33. D STRUCTURE USED AS
REFRG HAN,
BUILD PLUMB. HEAT INSTALL -_ ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN,is
LI
1/1/ Address t " c c VV c 7 -141 —24--
Address
:ontractor 4(--it-vi J Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
I BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
CI DETAILS OR REMARKS: -
❑ NO
:Qned hereby makes application for a permit to do Building Work as herein specified,agreeing to d all work in strict accordance with
_as of the City of Oak Park Heights.Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED PL/1 .
OK'D BY_