HomeMy WebLinkAboutPL 1974-747 OPH State Bank •
/• � -741'7
•�� Permit No.
$ 3/. SD (Building) 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 1
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARESf)
BY X
Owner .-t-1--4"—' • Address / 2 a`- " ' .
Architect Address �J
Gerr l Contractor EK • Address "'la- N[�-�- • 721-te.-el
Contractor Reg. No.
NUMBEER(� STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
YES DETAILS OR REMARKS:0
BASEMENT 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 Heights. Contractors must register with the village before permit can be issued.
SIGNED