HomeMy WebLinkAboutBP 1972-422 •
U:
Permit N$ A 3 � (Building)Pk. VILLAGE OF OAK PARK HEIGHTS Plan No.o
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date wZ 19 2
To:
STRUCTURE USED AS
REFRG, HANG
MARK I • PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
S
BY 1174I I 1
Owner (1. )s1\ Address I 357 abC OA-
Architect
Address
6errertrfiContractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
S—
LOT BLOCK ADDITION OR TRACT
4.-T-4I (CD — (c < Pei
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE —
V OQceCl
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
7C:14_.4
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