HomeMy WebLinkAboutPL 1972-412 New Single Family Dwelling •
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50
Permit No. 4/-2---
/--3- -co (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 /—Z 19 7
To:
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMQ. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner
1-117/
a., Address
Architect Address
.Ce m1 u I Contractor ` % Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
5 /5/ Lv1/4 -L.:h .
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
BASEMENT ❑ YES DETAILS OR REMARKS: .�
❑ 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 villag)`� fog- permit c e issu
SIGNED /"L ,4.11. '
BY /6/77,42Sa' 7 a
r