HomeMy WebLinkAboutOT 1971-318 Re-Roof 1 '1
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Sp O — Y'/k- , jc, ,______
Lc,--4 Permit No. _
$ -� s ` (Building VILLAGE OF OAK PARK HEIGHTS Plan No
TOTAL FEE COLLECTED I (For Dep
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION .
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date -"-2/
To:
STRUCT.
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE
SQUARES .. LJ -
BY X X
Owner �_.+�.ci�u - <-'—rz" `=�-3`_.)
Address t`7 Y�...K. 7 P-42-'1---k.:---.''.
A Fritect- Address
ire for ,�e______1 L.-" Address
b
Contractor Reg. No.
•
NUMBER STREET SIDE BETWEEN WHAT CROSS ST_
LOT BLOCK ADDITION OR TRACT
•
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUIL=
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION EST"
STRUCTURE ,
BASEMENT
O 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 stric-
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befo e/per it can be isd.
SIGNED ,i 4./47 f // ,...--e
BY