HomeMy WebLinkAboutPL 1972-500 Addition Lo 0 r.
i� Permit No. cso0
- BJildin VILLAGE OF OAK PARK HEIGHTS Plan No.
$
31 ( g)
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED ^ n�/
ACCOUNT ORDINANCE
Il I
VIOLATION (1?I ^,/�/ ( rv'
(MARK X IN SQUARE)
J/ APPLICATION FOR PERMIT
( 1') `5 Date 9-/A 19=
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUM a. HEAT INSTALL ALTER R�� Li
R REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X
Owner /712 l e C' - ea- Address - ,
Architect / • 11' Address a '
. ` � . _ . Q ., we. =mew
General Contractor ' " > Address ,c- '/L —
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1 /s 1 "K 1901- , -`" •
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: /
BASEMENT
BYES -
0 NO „Di 0 /, 6'
lye,.,,,,
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 bi- - r t can Aed.. 74
SIGNED A-- - �
BY K././t cl, i ^'`—"---7