HomeMy WebLinkAboutSI 1979-1670 Sign - Ceramic Shop Permit No. /G 7e7
FEE SCHEDULE CITY OF OAK PARK HEIGHTS Plan No.
$ Bd.DGi. � (For Dept.oee only)
*_D6. PERMIT JO
*ITV UTILITY
ingillirkea, PLED. APPLICATION FOR PERMIT p 7rt�JQ
NET RV S.A.C. J�/�/ 17L.�
UTILITY CONNECTION Date
TOTAL AMOUNT DUE - Oh l
STRUCTURE USED
HANG
RE FRG. ALTER REPAIR REROOF RESIDE MOVE WREGK SI N
MARK BUrl.O PLUMB. NEAT INSTALL \'
SQUARES E n n n L -r ,
/h.1. 1?t.w�`2e4 . i,�
, ,,, , Address
aleoli,$ect Address
Oewaral Con4ractor Address
Correa ter Reg. No.
"139- 1/3 ? °fr '
STREET SIDE BETWEEN WHAT CROSS STREETS
LOT = •
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ' ESTIMATED VALUE
STRUCTURE v/ _
/ v 7o
DETAILS OR REMARKS: °
IllMgENT ❑ YES
❑ NO j v✓y 9"L
_/,' 'GJ.7
'me a 1ersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
aM eminences of the City of Oak Park Heights.Contractors must register with the village before permit can be issued.
OWNER/CONTRACTOR SIGNED
OK'D BY _ C.—