HomeMy WebLinkAbout1982-10-22 - 10 day SE Permit FEE SCHEDULE Permit No72(5 49 a
_7G,, /i/c . CITY OF OAK PARK HEIGHTS Plan No.
URCHARGE (For Dept. use only)
=ERMIT /Q / W/
ILITY
AL, PLBG. APPLICATION FOR PERMIT
CONNECTION / i "• 7—A./cc , Date / -,-}- 1912-
AMOUNT DUE /j GC___+t// Je----f�c=� f41- <--T•.,_,.;t_e A. ce__:_,—`=
STRUCTURE USED AS
REFRG HANC
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
u n - _ u _ n;
&-.,e4' '-7-'-- 2-- Address
Address
:ontractor Address
-or Reg. No.
STREET SIDE BETWEEN WHAT CROSS STREETS
X . 6 a ' ,&,
BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
❑ YES DETAILS OR REMARKS: „Lt„ii
❑ NO
:tined hereby makes application for a permit to do Building Work as herein specified,agreeing toido all wo n strict accordance with
.es of the City of Oak Park Heights.Contractors must register with the village before permi can 'e issue., J !I
OWNER/CONTRACTOR SIGNED � � � �t���1.1�i�
OK'D BY_