HomeMy WebLinkAboutPL 1972-363 New Single Family 3 .3
23.00
.50 surcharge Permit Nc
$ 23.50 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No,
(For I'
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE) APPLICATION FOR PERMIT
Date .ran
Res-
To: STRUC
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE
SQUARES �J
BY X X J
Owner Swager Bros., Inca Address 5898 Omaha Avenue N.
Architect Address
General Contractor Ray W. Martin Plumbing Inc. Address 97 W. Golden Lake Road,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS
5869 Oldfield Avenue N.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT Bl
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION E
STRUCTURE
BASEMENT
0 YES DETAILS OR REMARKS:
❑ NO 10 fixtures
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in s.
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY