HomeMy WebLinkAboutBP 198x-1948 Patio Door FEE SCHEDU E Permit No. /7,/y
_'G. (�� CITY OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
URCHARGE
=ERMIT
ILITY
PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION ,
Date� �� 19_
AMOUNT DUE
STRUCTURE USED AS
REFRG. HAN:
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGH
A , n LI
Address
Address
Contractor'-. ( 7L-v" ' _- -
--or Reg. No. q ? / A
.4/3 7 - 7
STREET SITE 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
Jv
❑ YES DETAILS OR REMARKS:
❑ NO
fined hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
:es of the City of Oak Park Heights.Contractors must register with the village before per can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY