HomeMy WebLinkAboutME 1972-00397 New Single Family /'1y 5�1 vi<L#JGc 0 q
'57? .y773 Permit No. i1
$ ,.5T (YO (Building) 4VILLAGE 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 7l t h 7 1912
To:
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT� �jjINSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES _ U -
BY X J
7
Owner �.! -eq-/ Le✓-� Address J P -n 41))"....'
tc.-�' ., AT'''' 76 •
Ary hitect 1.---e.'
Address /��yintractor <yr.�.� 1�., Address I �E-/ i,
4
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLO(aey(i(fild ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 0�
(ES DETAILS OR REMARKS: Sili 0130 `rye
BASEMENT0 NO
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The undersigned hereby makes application for a permit to do Building Work as herein specified, agreein•/• do •II work in strict accorrpnce with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before perm ca/e issued. /
SIGNED .'4 �\ '"a.�'i ,
. BY - 6-{ 4:1-19.Z'G _
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