HomeMy WebLinkAboutPL 1973-678 New Single Family r1 /"`
g. I` S Permit No. Li VILLAGE OF OAK PARK HEIGHTS Plan No.
/ (Building) (For Dept. use only)
TOTAL FEE COLLECTED / 9 Q
DOL:BLE FEE COLLECTED ) S
ACCOUNT ORDINANCE 6 ,F+ L.# �/ y ✓
VIOLATION ��• / // •
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 11 "6- -- 1 1 113 19_
To: STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL _, ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK
SQUARES l I [ 1
BY X /�
Owner S w r A Address La) 1 ifw 5 L . yu
Architect Address
General Contractor i . - . _..A..._ 1110 Address ` - , / /
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/y5o/ [Lov 6 7`‘ via, , n.,
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS:
BASEMENT ❑YES
Cl NO q Se1-1,..",—......--..-A—.
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 before a mit can bed.
SIGNED
BY L/