HomeMy WebLinkAboutPL 1974-780 New Single Family •
Permit No. 8 �
$ ..<0 (Building)
VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED
(For Dept. use only)
DOUBLE FEE COLLECTED -
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 1— a20 197`7'
To:
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES - LI )
BY X -
�6J� • KM� 4 + A / 1 R
Owner `.r �y� Address ( 4 ILO !Z/4
Architect Address
General Contractor ? iit Address 97 /1 i &c24' .i . 4 //
Contractor Reg. No.
NUMBER ,�, ,,,�,�� STREET SIDE BETWEEN WHAT CROSS STREETS
86o \3tuj - % s r. .
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT O No DETAILS OR REMARKS: 4 ,�, "2.4
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 b re permit can be ism ed.
SIGNED I /
BY