HomeMy WebLinkAboutPL 1971-270 New Single Family Residence Permit No. -77O
$ l7 00 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED l l
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date . c.2- 9 191/_
T0: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES X L1 J
I I
BY X l
Owner Jay Bjorkman Address 14997 Upper 55th St. No
Architect Address
General Contractor R. C. Martin Plumbing Address 97 W. Golden Lake Rd.. Circle Pines
Contractor Reg. No. KOTsj . 55112
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 OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
O YES DETAILS OR REMARKS: ,W X2 ."
❑ NO V 3, v
446f, 3/2.2/7
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