HomeMy WebLinkAboutME 1974-698 New Single Family 12_13L9�'
// 4. Permit No.
$0�`7• ..2.-+5 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept.use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUA I
APPLICATION FOR PERMIT
Date / aiv 19/
ri
To: STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT
INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK
SQUARES
BY X t
I
Owner . ti1/I�-442 / / .2! Address e/.2,... "----4. l at'L'f/ I '
Architect l,�� Address �,/
General Contractor A.„,„....e,,, i7" Address / 3/ 4 2
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
6/75- 43iLi.or 004 t.t.)
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
❑ YES DETAILS OR REMARKS: ,,,,,,e
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BASEMENT ❑ NO „leC2.t?l ZQ.AA/ 1 i
fridt02..34,
3 i4`cc- 171 it-r,c r
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,'ore permibe -su •
SIGNED Al
t Al • -1`4.-411 Ai.'../
i 1
BY_ac.. - p l