HomeMy WebLinkAboutME 1987-2563 Air Conditioning /
Permit No. • 3
S 3 0 . 5 (Building) VILLAGE 0 'AK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED ri
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 3/// _ t Z
To;
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR RE ROOF F R MOVE WRECK IGN
SQUARES I l ^ Li U
Owner e rm A T/tf 4 N // / 7 7 4 7 Address / ' z leG ,/'. 5 .A
Architect Address
General Contractor 9 G hf� � , Address ¥/O GJ Load .9 fk / /l)
Contractor Reg. No. /'
NUMBER �ac STREET SIDE BETWEEN WHAT CROSS STREETS
' 7 2 ff /va s 5i0
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT ❑ YES DETAILS OR REMARKS: i " C Qrtrltirf.li �ie `
❑ 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 be be issued.
SIGNED _ / 41iLlccea/
BY