HomeMy WebLinkAboutBP 1982-2041 Concrete Over Installed Tanks - Clark Station '---, /t
FEE SCHEDULE Permit No.---2 0 `,//
_DG. ■ iY.6ryry�' CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE /+.15 (For Dept, use only)
=ERMIT ...3(7,•7.5`
-ILITY )A' 91,(.... ..2.-- /y,4 2.-
A4 PLBG. APPLICATION FOR PERMIT
CONNECTION Date /.1 �
/ 19.±1_
AMOUNT DUE 6 4/07v Q (71x-s-t-v c-e.. e_Z--z
STRUCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG'
. . I u
_t a'---Aw am �-,... Address
Address L` '
Contractor Address
--or Reg. No. _
ii 3_ -z-7 cs r/7 K 4 )
STREET SIDE BETWEEN WHAT CROSS STREETS
6'D ‘61-_,S , )sei
I BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
D YES DETAILS OR REMARKS:
_.„,(1 �j
O N O ,e 1_4/t — .A . :=1:/-e... .___--- -
-:fined hereby makes application for a permit to do Building Wor s herein specified, agreeing • do all work in strict accordance with
L'es of the City of Oak Park Heights.Contractors must register the village before perm --.e issu:: .��
OWNER/CONTRACTOR SIGNED Q.,.• ..`. l
OK'D BY_ 411 0