HomeMy WebLinkAboutPL 1974-779 New Single Family 1
.s-0\-0-11, Permit No. 1
$ = I • (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED ,
DOUBLE FEE COLLECTED ri
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Da te 6z c 19�
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL _� ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I I Li
BY X 1r^\ l I f
Owner Address i L ii 1 n Q.A. 5 S N a l
Architect n Address "
General Contractor I` r.� Q ', Lta . Address l [mac ��o - �••�1c l •
Contractor Reg. No. U
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
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LOT BLOCK ADDITION OR TRACT
1 \ b i.. Ja k\ itiit t o
WIDTH DEPTH SID LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: 9 /
BASEMENT O 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 village befoe permit can issu. /�/ .. SIGNED J V � ( "/(,p
BY