HomeMy WebLinkAboutBP 1971-335 qa
Permit
$ : 70 (Building)
VILLAGE OF OAK PARK HEIGHTS Plan Nc
TOTAL FEE COLLECTED (F`
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION / p 7/
(MARK X IN SQUARE) (,(�
APPLICATION FOR PERMIT
Date
To: r
STR'_
REFRG,
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MC
SQUARES U
BY X
Owner CQ"--rjr\-0.--N-g\-- � � Address /c'') d 5 -- 7-
Architect Address
GeRer4LContractor
Address 1-S
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CRC
• (\a.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION
STRUCTURE
BASEMENT 0 YES
DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before per` can be issued.
SIGNED
BY