HomeMy WebLinkAboutME 1976-998 Oil Furnace Conversion to Gas ,
Permit No. Cf ,
FEE SCHE• LE No.
LAGE BLDG.
�S S VILLAGE OF OAK PARK HEI GHTS
ATE SURCHARGE (For Dept. use only)
t �
DG. PERMIT
.LAGE UTILITY
TERNA}. PLBG. APPLICATION FOR PERMIT / �' 197 z .
TRO S.A.C. D ate v
ILITY CONNECTION • � �. — j
)TAL AMOUNT DUE STRUCTURE USED AS
HANG
BUILD PLUMB. REFRG. ALTER REPAIR R RESIDE MOVE WRECK SIGN
P H INSTALL ❑ a
MARK
)DARES
B Y X ...—�
,► iii �� ` f/: ie t
Amer /101*,—. Address
.. Ad dres s
Address
rchitect Address L (�C �-c�
Contractor
ontractor Reg. No.
UMBER STREET
SIDE BETWEEN WHAT CROSS STREETS
cL74 ADDITION OR TRACT
_OT BLOCK
WIDTH DEPTH
SIDE LOT CLEARANCE FRONT BUILDING LINE
S
B
MEM
VALUE
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION
RUCTURE 11111 Mil
YES / �f"r' DETAILS OR REMARKS: r' 4r7tt4I — 7 % C" `, •
. � �/ • ; , tr, f / & --, C_
kSEMENT o NO '
•r - ran app .zz.,
application for a permit to do Building Work as spec' 'e•, •
�.ree o do al ork in strict accordance with
• �cpn be issued. �
ii undersigned an of hereby makes app ` ..t I ,
II ordinances of the Village of Oak Park Heights. Contractors must register wit the village e • . '
OWNER /CONTRACTOR SIGNED —
OK'D BY _ "-, i