HomeMy WebLinkAboutPL 1971-331 New Single Family 5c) �tr�_ Permit Nc
$ 0•Building) VIL AGE OF OAK PARK HEIGHTS Plan No. _
TOTAL FEE COLLECTED (For L
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date f / `7(
To:
STRUC
REFRG.
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE
SQUARES L1
BY X
Owner 0 Q a,�A _ . .Q Al) ` `� - 1 -1'v� Q Address i G �- •�
Architect ` Address
Genera4- Contractor 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
❑ YES /'r"` DETAILS OR REMARKS:
BASEMENT ❑ NO (/
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work i str
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY -