HomeMy WebLinkAboutME 1982-2016 Propane Tank FEE SCHEDULE
Permit No.c7
_DG1. -'d , 0-6 j 0- 9 CITY OF OAK PARK HEIGHTS Plan No.
SURCHARGE t (For Dept. use only)
=ERMIT 410
PLBG. 3 APPLICATION FOR PERMIT
" CONNECTION
gs—v.a! /� � � 9 2 Date L L 19:�
AMOUNT DUE
/ 3 - ST UCTURE USED AS
REFRG HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN-
•
Address
=t Address
Contractor A�— 271. Address
--or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
o .-
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
Cwt)
❑ 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
-mss of the City of Oak Park Heights.Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED I y.. -a
OK'D BY_
•