HomeMy WebLinkAboutME 198x-2242 Furnace Replacement %j FEE SCHEDULE / Permit No.2 -2 y' 2'
C Y OF •AK PARK HEIGHTS Plan No.
=iDG. ■30,a''-'r� 439-4439 (For Dept. use only)
-SURCHARGE ,..s---c)
:HECK
'TILITY
-NALPLBG. APPLICATION FOR PERMIT
S.A.C.
y-Y CONNECTION Date 9
_AMOUNT DUE .2 v,5—C) STRUCTURE USED AS
REFRG HA'
ES BUILD PLUMB. H� INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIC LI ri T1 Fl T1 Li E
i X21 Address
_ct Address
_; Contractor A....-..- 'e 'Y e,-1• Address
-_-tor Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES '6-"-' ms DETAILS OR REMARKS: �`� ,,,,„46-7-a .
❑ NO /
-signed hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in st ict accordance with
-ices of the City of Oak Park Heights.Contractors must register with the village before permi be issue -
OWNER/CONTRACTOR SIGNEQJL___ a..-•-7
OK'D BY_ /