HomeMy WebLinkAboutOT 1984-2245 Reside FEE SCHEDULE r l Permit No. 2? y5
_DG. to.5 D CITY 0 OAK 'ARK HEIGHTS Plan No.
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439-4439 (For Dept. use only) 1
SURCHARGE n2. 9 0
HECK
—I LITY
,IALPLBG. APPLICATION FOR PERMIT
S.A.C.
'CONNECTION Date 7 - /0 19
AMOUNT DUE 10 %frip..4 STRUCTURE USED AS
REFRG HAI,
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIG
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1, rs / 1SC Address /9-'s-- a A,,h S7 S 7t---
_t Address
Contractor (/�� , /t2J/A�_/.cat1 Address
_tor Reg. No.
STREET I SIDE I 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
5) if 00, OG
❑ YES DETAILS OR REMARKS:
❑ NO We/4Y s/L/A/ ' ,41v 56,,C/7-S
-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 permit can be issued.
OWNER/CONTRACTOR SIGNED . / I' /------'
OK'D BY_
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