HomeMy WebLinkAboutPL 1975-02-10 New Single Family t J� Permit No. A
$ 1 ) (Building VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED [
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Datt2.— id ) 19G-
To:
95To: t.�Z-�A
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
Ll
BY X
Owner `` A-2)/(.\\- — Address
Architect n Address
General Contractor I�Aa I; Address
Contractor Reg. No.
NUMMBERy STREET SIDE BETWEEN WHAT CROSS STREETS
OC 3 o
LOT BLOCK ADDITION OR TRACT
4\5-0--e•ge A441\
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT 0 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 �0.ti�