HomeMy WebLinkAboutSI 1972-00513 Sign - Service Station ►,5-0 Permit No. .5X3
$ 1 (Building) G VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date c="2- 19 y
To: TRUCTURE US D AS
RE FR G. G
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN.
-
SQUARES I Li
BY X
Owner GL 4. Address d L,
Architect Address
Contractor / _ Address OR eh ¢_> 4_42-e¢-eren
•
Contractor Reg. No. ��� $-y
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heigh+s. Contractors must register with the village befo•- permit can be issued.
SIGNED
BY