HomeMy WebLinkAboutPL 1971-330 New Single Family �� Z 3 l)
�_,_a'c.. Permit No
$ J•` ' . (Building) VI' LACE OF OAK PARK HEIGHTS Plan No._
TOTAL FEE COLLECTED (For D
DOUBLE FEE COLLECTED l
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date //
To:
STRUC
REFRG.
MARK BUILD PLUMB. HEAT INSTALL. ALTER REPAIR REROOF RESIDE MOVE
SQUARES U
BY X J
1
Owner �-� �'t, v' < - � Address / 4 �� k 1 — I ,...,
Architect . Address
General-Contractor Ka-, A cY\C L - t -, PILL--• Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BU
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ES
STRUCTURE
I
BASEMENT
❑ YES J(_4..A_2.s. OR REMARKS:
❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in str
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY / - J ..