HomeMy WebLinkAboutPL 1982-2011 Floor Drain x1FEE SCHEDULE
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- URCHARGE _
-ILITY
AL PLBG.
S.A.C.
CONNECTION
AMOUNT DUE
BUILD PLUMB. HEAT
❑ ® ❑
CITY OF OAK PARK HEIGHTS
Permit No.
Plan No.
(For Dept. use only)
APPLIT02 FOR PERMIT p
Dare 19tar
STRUCTURE USED AS
REFRG HANC
INSTALL ❑ ALTER RE❑PgIR RER❑OOF RESIDE MOVE WRECK SIGN
0 ❑
FZEdS jl2E Address %—EAd— 'f N W-,k
/ Address
Contractor AT! MA(4Ll. AWa4l ZP6 Address
-Tor Reg. No.
�3
r a LIDS
271. Pau
Wined 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 permit can be issued.
OWNER /CONTRACTOR SIGNED ` ou —A Q t
-- OK'D BY_ U
STREET
SIDE
BETWEEN WHAT CROSS STREETS
BLOCK
ADDITION OR TRACT
WIDTH
DEPTH SIDE LOT CLEARANCE
FRONT BUILDING LINE
j]
WIDTH
LENGTH
HEIGHT
NO OF STORIES
TYPE OF CONSTRUCTION
ESTIMATED VALUE
O YES
O NO
DETAILS OR REMARKS:
Wined 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 permit can be issued.
OWNER /CONTRACTOR SIGNED ` ou —A Q t
-- OK'D BY_ U