HomeMy WebLinkAboutBP 198x-1966 Deck FEE SCHEDULE Permit No. /� i s
]G„ ` CITY OF OAK PARK HEIGHTS Plan No.
JRCHARGE
C/" (For Dept. use only)
ERMIT
LITY D lc, VK
PLBG. APPLICATION FOR PERMIT
.A.C.
CONNECTION Date �7 19 .K-
,MOUNT DUE
STRUCTURE USED AS
REFRG. HAN,.
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE W�K SIGN
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4,,-A,`,i Address
Address
Contractor Address
or Reg. No. p
jIL<iu-ed :
STREET 1 SIDE BETWEEN WHAT CROSS STREETS
rol
. )649 • S7 ---
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
t 2
❑ YES DETAILS OR REMARKS:
❑ NO
aned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
s of the City of Oak Park Heights.Contractors must register with the village before per an be issued.
OWNER/CONTRACTOR SIGNED-A.-
IGNED ,!T:J27,-Ife
OK'D BY , •