HomeMy WebLinkAboutSI 1975-880 Sign //'+� E (Building) Permit No. O 8d
$ 1 �� VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL E COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED r
ACCOUNT ORDINANCE III
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date — 3 1973"
To: �-.�. •A / „ D _
STRUCTURE USED AS
REFRG. HANG
MARK BUILD -LUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK IGN
SQUAB i, Li
J
Owner ,2-a ,, Address
Architect Address
General Contractor 5o+(fibcyv 45 n-,ar :21—„._ Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.Jr:, r 0 4, 4-7- , ,/,..„„&,'t/, iv.
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 .l
BASEMENT CI YES DETAILS OR REMARKS:
❑ NO '---- -x..-V/y' '��C. JeCti Gr- (a
"4—z
J---r-v .0 a P(- .01:7---fr---- c-b AC-t*e.-/,-
The u d rsI ne ereN m`6k s a lic-ctio o� a
9 Y P p�to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Villag of Park Heights. Contractors must register with the village I ge before permit can be issued.
SIGNED (----
BY ` �/T L i