HomeMy WebLinkAboutME 1972-00385 New Single Family /S 7S V L.ZA c •
5(7 -57 3 Permit Na. o
(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
A
Date 19 j
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES lJ
BY X J
Owner - L � Address /4").--4741--/ - 2, ��
Architect -, Address
4=14 Contractor _ _ - .r y' : _ Address ‘'(1.:
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
a_ it 7/„.
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 4S5d '
BASEMENT %YES DET ILS OR REMARKS: // Q pod
0 NO
&Le, - C/ . G GL� - 712e-o—
f
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreein•fo do all work in strict acc dance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before •er f c• j be issue 7 �
SIGNED %. 1 °'
BY —