HomeMy WebLinkAboutPL 1975-909 Remodel Bath Facilities Permit No. q Q
(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 EUS D S
REFRG. HANG
MARK BUILD PI B. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owners Address
Architect (J Address
GeweurLContractor . cl �w -� -.'� `o, Address c;•-•
Contractor Reg. No. `� QN
NUMBER 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
0 YES DETAILS OR REMARKS: i
BASEMENT
0
NO -e+
C9-�� (�11t9 d
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
BY