HomeMy WebLinkAboutPL 1975-919 New Single Family q‘.6
Permit a t C t
g 11 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
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TOTA L FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED U
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Dat — /°i 9 P5
To
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEEAAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I n LI 1
B AR I I l I J ll
Owner Address 14 533- Si- n .
Architect Address
General Contractor R Y- - 1 A VIA Ty, Address 9 (mil (—.Ld. A.1 w U .
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ L /5 3 3 U P R ST'
LOT BLOCK ADDITION OR TRACT
Co 50, �!
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 �p
BASEMENT ❑ NO 3' loo E'
g r
eiYL -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 Pork Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY