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, SU -.svkcN/44G-6 Permit No. / 9
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( VILLAGE OF OAK PARK HEIGHTS Plan No.
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TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VILA TI
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date �.... 19
•
To:
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQBYXESII n � i ii i a I � II Ii - -
Owner (4W-2W) Address 0.-.76)/
Architect Address
General Contractor Address
Contractor Reg. No.
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.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE / /O
YES p„!( `p`r DETAILS OR REMARKS: � �
BASEMENT yQ�
� NO d
The undersigned hereby makes application for a permit to do Building Work as herein specified,agrees to do al r,Jg t accordance with
all ordinances of the Village of Oak Park Heights.Contractors must register with the village b fr t can b
SIGNED 7
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