HomeMy WebLinkAboutPL 1978-810 Plumbing Iso S - Permit o 810
(Building)
$ 9 ,� VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT /m� ^
Dat add-a 1 19`11
To: L
STRUCTURE USED AS
REFRG. HANG
MARK BUILD P .Ma. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES �(I LI
BY X 11
Owner ZAddress IS — 5 f) -1*-N 1". r1
Architect Address
General Contractor 4Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
15`4 a`lam
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
BASEMENT
0 YES DETAILS OR REMARKS: 3 --
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in rict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the villre perm' con be iss e
SIGNED
eg �
BY