HomeMy WebLinkAboutME 1971-349 New Single Family •
' ?= v g c' L`
I
w. See a d Permit N
$ ,/ , (Building) VILLAGE OF OAK PARK HEIGHTS Plan No
TOTAL FEE COLLECTED
(For
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION c/-71 9
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Dates_,
To: ...c 4
STRU
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MO\
SQUARES LJ
BY X
Owner cV-, i1'7 -. _.4 Address / 1 7 /1.- `7` / �'
.�A rchitect
Address
Contractor . a u . Address 6 (
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT B
LOT
WIDTH LENGTH HEIGHT NO. OFSTORIES TYPE OF CONSTRUCTION E
STRUCTURE
BASEMENT YES
DETAILS OR REMARKS: 1/ 0 0 p
❑ NO
1 . - 17? - 74,1.4
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before pe it an be issued.
SIGNED 4 411
BY