HomeMy WebLinkAboutBP 1982-1990 Additino//9,60
FEE SCHEDULE
-DG,. 7
SURCHARGE
=ERMIT
-1LITY
-AL PLBG.
S.A.C.
CONNECTION
AMOUNT DUE
CITY OF OAK PARK HEIGHTS
0 /< �Q! ��IK L
APPLICATION FOR PERMIT
REFRG
'
eUILD PLUMB. HE ❑ AT INSTALL ❑ ❑
Permit No.
Plan No.
(For Dept. uae only)
Date �� 19&
STRUCTURE USED AS
ALTER REPAIR REROOF RESIDE MOyE WaK HSA��
T h-�
-7-4-'A-4-0 Address
t Address
Contractor riP . 12-,A-,' Address
-tor Reg. No.
-mgned 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 perm' ca /be issue
OWNER /CONTRACTOR SIGNE
OK'D BY —
STREET
SIDE
BETWEEN WHAT CROSS STREETS
i
Z4'
O
BLOCK
ADDITION OR TRACT
WIDTH
DEPTH
SIDE LOT CLEARANCE
FRONT BUILDING LINE
WIDTH
LENGTH
HEIGHT INOOFSTORIES
TYPE OF CONSTRUCTION
ESTIMATED VALUE
o-T7`Yi
❑ YES
0 NO
DETAILS OR REMARKS:
-mgned 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 perm' ca /be issue
OWNER /CONTRACTOR SIGNE
OK'D BY —