HomeMy WebLinkAboutPL 1971-00329 New Single Family / v cam -
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J Permit No.
$ ' ���'= Building)
VILLAGE OF OAK PARK HEIGHTS Plan No.
mi l
TOTAL FEE COLLECTED (For Dep
DOUBLE FEE COLLECTED ri
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 1 / `7/
To. STRUCTL
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE
SQUARE
BY X 5
Owner PI-a-. 6 LLB - Address
Architect Address
Grrrertri- Contractor - Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS ST
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUIL.
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTI
STRUCTURE ,�}}
DETAILS OR REMARKS:
BASEMENT 0 YES
Q NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in stric
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED ,�
BY /. /G .Z 2// _