HomeMy WebLinkAboutME 1972-395 New Single Family /.T $ ( /iLA GL=- ,
,. ' 5 T4--T Permit No. 3 q -r
$ /6,..2 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
TOT AL FEE COLLECTED
(For Dept. use only)
DOUBLE FEE COLLECTED
`(v�
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT _
Date 'Z 19 i7;--
To:
/'T0: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. `EAT, INSTALL ALTER REPAIR1111REROOF RESIDE MOVE WRECK SIGN
SQUARES / LJ
BY X �X\
'd,/,
f Ci-VA.:?:,C/
Owners Addressorf,
//
Architect 7" Address `
Contractor < �= mss Lc' • Address 6if .'- (�-el-,:-ff 64:''?'- -
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOC
Kl ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE 4 cry
`d YES
BASEMENT
DETAILS OR REMARKS: j7 ‘70 427,4 ,,i, c-
0 NO
O �' A ,
it (W191( C . -✓ --0
The undersigned hereby makes application for a permit to do Building Work as herein specified, agre/ng to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before. ermit An be issued,_
SIGNED •1 ' A ,�// � �.
BY L ,. 1/ "' -d �[_�p