HomeMy WebLinkAboutME 1973-580 New Single Family � 2 f/
Permit No. v ci
$ a (Building) p4 VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED --
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 7k J _ � 19
mo -- „-t -
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X _ —.
n /`V 4----1-v, "C. V GJ yfJ lji�/� "7 - Lii ,Li�..d. 14-e. �+�
Owner � r -< P- ?. / f Address
Architect Address
General Contractor A C 73 -‘-' , '. Address -lr Y9 ,c 6?-t4..�- 4t '• ) ,
Contra for Reg. No. �ii
�ew- u - -zL Ze J ; - 1 f Z ( %rte = ��� � z r . 2C'
t .
NUMBER
STREET SIDE BETWEEN WHAT CROSS STREETS
(�r 4- sat
LOT BLOCK
ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
NO . 3-4) (� DETAILS OR REMARKS: .i/2.-* 73 - / / 0 61-15) xp BASEMENT D NO / r 7 or p �
T • ya4t The undersigned hereby makes application for a permit to do Building Work as herein specified, ogre ng to do all work in strict ac1dance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before • -rmit an be issue..
SIGNED A �t . „
BY /ii_4• / G t....c, =/