HomeMy WebLinkAbout1982-12-01 to 10 SE Permit - Goodyear n
FEE SCHEDULE Permit Nom c9f.Q-_-'
_DG. CITY OF OAK PARK HEIGHTS Plan No.
-URCHARGE (For Dept. use only)
=ERMIT
-ILITY
Al„ PLBG. APPLICATION FOR PERMIT
Q.A.C.
CONNECTION ./e /�i�_, � Date �` 19
sF�
AMOUNT DUE ,
A72- //18 1 '— /°� �U STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR RE ROOF RESIDE Ml ! WRECK SIGN LI
27',..„)..7 ,i___#,A} Address
Address
Contractor Address
-or Reg. No.
j<3 o ---7-4 a
STREET J SIDE BETWEEN WHAT CROSS STREETS
(y 0 '=� —��� It -
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:
❑ NO
_.1yrted hereby makes application for a permit to do Building Work as herein specified, a. •-'-g to do all work in strict accordance with
—mss of the City of Oak Park Heights.Contractors must register with the village befo •ermit can be issued.
OWNER/CONTRACTOR SIGNED r ' ■ \
OK'D BY_ _