HomeMy WebLinkAboutSI 1971-284 Sign 7
Permit No. '*T
11, "
$ �T (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 i. --h--‘c-e-----;22 19 7/
To: STRUCTURE USED AS
REFRG. HANG
MARK ix
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES LI -
BY X
Ok.),L-IL-n-')
, �Z ) (�L/_c�Q / Address Cba;j1' G%C 44‘.-iii- 06 (6,..,......„&e._., L
Owner /•p
Architect 0 Address
Genera I Contractor LL�d �1:...,_0--t_L__y_L-gt_._t-, AL..4r Address
Contractor Reg. No. 7.2. 7/
NUMBER STREET 1 SIDE BETWEEN WHAT CROSS STREETS
) y52 a - /,D04h S-E
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
BASEMENT
0 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 Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY