HomeMy WebLinkAboutBP 1972-453 Repair Lightning Damage 30-�
I t � � Permit No. 5 .
$ l4 �� (Building)
c) X VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept, use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE III
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
1 1 4
Date •. _ 19T
• I ,
•
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER 'REP IR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner Ji V Address I Lka - EWA U -Th
Architect . Address
General Contractor V ) 0--itykin,�- ►e,nOA • Address
Contractor Reg. No. (.,25 1 i
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
a s0d
BASEMENT YES
DETAILS OR REMARKS:
NO Hail: 6 � >el. 11,./1 1i
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 bef prm' i 1
) SIGNED ��• =
BY