HomeMy WebLinkAboutPL 1973-540 New Single Family 3.v L ,
�., .--, Permit No.
$ ' 3 ti (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE III
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 1•x..c,k I7 19Z
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
_
SQUARES U I
BY X ..
Owner S t..A-1 I e 1. 1 re) g Address
Architect Address
General Contractor kg o... rr-N et.. r 4' iy— 5 Address G i `7 L3 6-„ kekv, k�tK� Rd, C►rr J.,
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/'V '� 7`A s /UV Pil
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
0 YES
DETAILS OR REMARKS:
O NO t () ,,,, 42C `i'eoh
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before�mit can be is ued.
SIGNED ('
BY