HomeMy WebLinkAboutBP 1972-430 New Single Family f.4/ 567 Rc N r Permit No. '3O
$ _ 610 Y / (Building) } VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL F E COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date d � 7'6' 19 7 ?—
To: G
STRUCTURE USED AS
REFRG. HANG
MARK
BUD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES N IL.
BY X I �I
Owner --72 G. ---- /C, 43�xe- /c- Address
Architect Address
General Contractor 5c-'-' �� 4, v. -,) c Address 9 /¢ , 5 4, -C/
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ / .>- < 1 - 6 S 0 D b
LOT BLOCK ADDITION OR TRACT
/ G�
/ C�w , / 4- 6 , * Env Ud % /z, 0 .r N /� sb ' ,
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT / � i s ' / . J aZ Z v
WIDTH LENGTH HEIGHT NO OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE '2—V �L / - 7 �z- -,7 Z Z
, G'G'J
�� i $ u DETAILS OR REMARKS:
BASEMENT Ii(-01 E 6r
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The undersigned hereby makes application for a permit to do Building Work as herein specified, a 'ng to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village befor permit can be issued.
SIGNED �--1