HomeMy WebLinkAboutOT 1994-00801 Re-Roof I .00
I
Permit No. ��/
$ 1 4 • L1 (Building) x 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
Date 19\1 .4+
To: 1 �,
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROpF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner Ma—kis Address ts,1'i`S-
•
ArchitectAddress
�General Contractor Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
Gig
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 oO oa
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