HomeMy WebLinkAboutPL 1974-791 New Single Family n
Permit No. '7 9 l
---r----- VILLAGE OF OAK PARK HEIGHTS Plan No.
S c � (Building) (For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 9—/7 19P.
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUM HEAT INSTALL _, ALTER REPAIR Li RESIDE MOVE WRECK SIGN
SQUARES I ^ I JJ U _
BY X
I Q Alt
y �
Owner Address I `'t O'∎ (A y SS"�- J L / -
Architect ` --��}----- Address 1 //��
General Contractor h c r{l � ��j Address a '? `? W �+,:c1,3(lo, t .,... ..
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT B OCK ADDITION OR TRACT
46 ---. / ":&ejej
WIDTH DEPTH SIDE LOT CL LOT CL AR FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
0 NO DETAILS OR REMARKS: ' tVtia
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 \ ti ` t`\N■r>.. - ' ..