HomeMy WebLinkAboutPL 1972-479 New Single Family �Z 3
.02U
Permit No. 471-7 1
$ 3 s (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
Date /A ti-- 19—
To:
TRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES J/
BY X n ` J
Owner A5 r -' 05 Address /9 1 e A/ 6" 7 j J / /vl
Architect / Address �
General Contractor / / r f i, . Address 7 L f l AT t
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/Y-1 3-" S/ Iv
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT -
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT
❑ YES DETAILS OR REMARKS:
❑ NO ,,,,VvreA
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do a work in strict accordance with
all ordinances of the Village of Oak Park Heigh•- Contractors must register with the village befo ermi n I
SIGNED / � ' -
BY 7