HomeMy WebLinkAboutPL 1972-360 New Single Family n n
� Permit No.
.50 surcharge VILLAGE OF OAK PARK HEIGHTS Plan No._
$ 23.p (Building)
TOTA FEE OLLECEED (For De
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT /97;--
Date Januz
T0: STRUCT
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE
SQUARES U I I 1
BY X U
Owner Thomas Cover Address 14271 56th St. N.
Architect Address
General Contractor Ray Martin Plumbing_ Inc. Address 97 W. Golden Lake Rnari,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS S
14271 56th Ste N..
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUI'
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION ES
. STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO
10 fixtures
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strt
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit con be issued.
SIGNED
BY •