HomeMy WebLinkAboutOT 1972-407 Partial Reside •
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Permit No. 76
$ • ��� (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
) (For Dept. use only)
TOTAL FEE COLLECTED
PCt
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
D a �. to 19'2 --
T0: STRUC RE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES -
B Y X
OwnerAddress I -'S ° ,+ • .
049- 7-C—ct\-e_AJ
Architect Address
General Contractor 3.A..a fr.) Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
0 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 before pe m' can be is ued.
SIGNED /A . K. ' AL
•
BY