HomeMy WebLinkAboutPL 1972-445 New Single Family d3 ")
Permit No.
$ cg� (Building)0 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
r" Date (��' 19 72
To: � a. c��'°' -z�'
STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES U U
BY X
d�
Owner `� ,er °�--� Address / 64-3 l _ S 56 t
Architect Address
General ContractorgAddress h- e"-� -� tit
Contractor Reg. No. ecll
N UMBER STREET SIDE BETWEEN WHAT CROSS STREETS
! 3 �� C 7 sr
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 /4 /! .7 e
e!aii F r � f .577
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 be. -mit can be issued.
SIGNED
_ J
BY