HomeMy WebLinkAboutPL 1975-876 Plumbing C4,-00
%S Permit No. WI to
$ `6T-.`-6- (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED l
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
%ate "Mks. . - 19
T0: STRUCTURE A. ED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I ��
BY X
90N0)-La
Owner )ht - -��
Address ' %(,=, d
Architect Address
GenoraI Contracto - It. '4tOAddress c ( YJ C yZ-eU'e.
Contractor Reg. No.
NUMBER STREET SIIDEE BETWEEN WHAT CROSS STREETS
- ,� (��
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
YES
BASEMENT O0
DETAILS OR REMARKS: j\
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