HomeMy WebLinkAboutPL 1975-921 New Single Family 4 pb
Permit No. S
$ (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
To :
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES \/ �I
BY X JC J
Owner C ' ° '' '? -' Address 1 to �
Architect Address
General Contractor R - 1 Vv , Address c1 7 (.-? f= Rd
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. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS: � �n � # ‘r �>
BASEMENT ❑
NO !D of dr
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 before permit can be issued.
SIGNED
BY