HomeMy WebLinkAboutME 1972-524 Gas Piping 16 as L JJ_ ,
C - Permit No. cR
$ 11, (Building) ck VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED
(For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE Ill
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT //A
Date 44-e- 4 19 ----
To
-9�a ����pppp RUt'TURE USED AS
REFRG. ti 0-d P ` HANG
MARK BUILD PLUMB. HEAT INSTALL AL ^ TER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1 I I I Li fl
BY X I J I I J
Owner 'The_ \ 1 • Address
Architect j Address
`,� , r�
General Contractor : • . : ,t_ 1 Address 1 t3 1 — _��
i
Contractor Reg. No. • r Q
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
415415 t ,D%E :it S •
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
DETAILS OR REMARKS: •
❑ YES
BASEMENT - �� ��
❑ 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