HomeMy WebLinkAboutPL 1974-744 New Single Family As.oc)
ts Permit No. 1 wt
ate' op (Building) V ILLAGE OF OAK PARK HEIGHTS Plan No.
$ - 9� (For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Dot IC 19
C t�� ,— Q9-- ‘4.--e.e
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR R EROOF RESIDE MOVE WRECK SIGN
SQUARES al � U
BY X _
Owner A ddress �a3� \ �� Cu_
Architect Address
Gowere{- Contractor "1/4 Address
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: 1I
BASEMENT ❑ 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 before permit can be issued.
SIGNED . 30--
BY
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