HomeMy WebLinkAboutPL 1975-0874 Remodel - Chinese Wok 00 Q
�y Permit No. O1 4$ I 'O (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date a 19i
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQ BY XES Ll
Owner ci _ J W Address iy I -10 0 - n•
Architect Address
f:Pneral Contractor inQ)-13'.000.10 Address a; tilz,
NJ Contractor Reg. No. '9
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
4. 12 ° .1rL.
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: 02
BASEMENT ❑ YES +�
❑ 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