HomeMy WebLinkAboutBP 1983-2082 Demolition of Clark Gas Station FEE SCHEDULE Permit N
_DG, C. CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
.URCHARGE i/C)
=ERMIT ✓42 ,60 �\./ n p /�,\(/
—ILITY V j� 03 / , D
'AA CPLBG. APPL CA OBI FOR PERMIT ,�
CONNECTION � 7 19 k
Date 17 QQQ���
AMOUNT DUE „/jj p a
�Y STRUCTURE USED AS
REFRG. HAN
BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WREC SIG
5 l( i U C
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Address
_t Address
Contract J Address
-Tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
3 o '"
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
O YES DETAILS OR REMARKS:
0 NO
O%-14.d "dja...A___)_) -e,...417-a..0 i
_ngned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordan.-,;r h
:es of the City of Oak Park Heights.Contractors must register with the village before permit n e ed.
, / '7100 -%-1 —
OWNER/CONTRACTOR SIGNED x
OK'D BY_
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