HomeMy WebLinkAboutPL 1975-899 New Single Family Permit No. K FQ
• $ a 1 .S0 (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 ii , - 0 192
To: .r : IP �_ _
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES �J
BY X .
Owner V' - C1 . 1g:2k. Address • • - . • . * • 4 'miii.... ` '
Architect Address
General Contractor R Ty. yk P Lb A r Address . 9 2 t J Ga- Fda,,i . S,. YL /24,
Contractor Reg. No.
4-8 0 669
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ U p...,41/A—. K S6 � St ADDITION OR TRACT
a
t Ci\Jaz.sL L.\-)4J)=
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT •
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
O YES DETAILS OR REMARKS: •
t ? eilier".4
❑ NO
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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
•