HomeMy WebLinkAboutPL 1972-00380 New Single Family ,:„?_ ,, yt,_7_.2_, Permit Nc
,3, — ` VILLAGE OF OAK PARK HEIGHTS Plan No._
$ (Building) (Far L
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE) /97 2—
APPLICATION FOR PERMIT
Date
T0: STRUC
REFRG.
MARK BUILD PL HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE.
SQUARES L1
BY X J , 1
-
Owner Address
Architect Address
General Contractor ��� -f:Q %//w , Address 9,-7
(2C '
Contractor Reg. No.
NUMBER STREET'' ,� °° '�/TSIDE BETWEEN WHAT CROSS
•
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BL
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION E.
STRUCTURE
BASEMENT
0 YES DETAILS OR REMARKS: /6 / ( '-c�
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in st
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY