HomeMy WebLinkAboutPL1972-381 New Single Family Dwelling •
65-o&Luta., pd Permit N
$ e-Q`1 J'� (Building VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (Far
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE) CA/
APPLICATION FOR PERMIT
�r
Date
To:
STRU(
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MO\
SQUARES b• I LI
BY X L J
Owner �-.FJ Address
Architect Address
General Contractor W• CPA'' Address
Contractor Reg. No. �(•&4-Lu 't-4'UE
NUMBER STREET SIDE BETWEEN WHAT CRCS'
6a 1>
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT B
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION E
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS: /c
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in s
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY