HomeMy WebLinkAboutME 1971-00351 New Single Family a ""t_ Permit No. 3 g7
$ /G 7 $ 2 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Dat 19 /!
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEA INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES L I J
BY X
Owner - - - - // - -- Address /` 3 - S
Architect Address L � ' - [-r -
�OntractOr c-
�✓ Address __6...../ g -L� • -o
Contractor Reg. No. -it_ - - - - _- 1 ArA
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ / 3,2, — ,S. ' - t - 4 S IL r
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 40 i 3 u ,
''
�
DETAILS OR REMARKS: // Q p a p /6 .A., � c <�
BASEMENT YES
0 NO ..c-c
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict actor once with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befo permit can be issued. -J r
SIGNED
- BY (- 4 _ilve�i - ) A-A2_,