HomeMy WebLinkAboutBP 1973-586 New Single Family 39,E Vii-c., ce —
/0,6y sue; 576
P ermit N o.
$ i, , . 4 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTA COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED -
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
4;t1c S APPLICATION FOR PERMIT
d( Date l 3- 19 23
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
-
SQUARES )1
_
BY X y -
Owner / o i3 E 7" `✓� /i,/� /ir) Address
Architect Address
General Contractor 5 w"4 6- c'L 73 �- '- Tom`-' Address . /---f % -.? 0/ A , z , q
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/ crf 3 .. 0� ✓Z ` 5 0Al 4
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT iJ / 3J 1 6 - / 7 ' 3o
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
-2.y. _ v r l — JZ-d4 ,", it
0,x DETAILS OR REMARKS:
/ BASEMENT glE , ln/ I 21 J 2:78
The undersigned hereby makes application for a permit to do Building Work as herein specified, greeing to do all work in strict accordance with
all ordinances of the Village of Oak Park Heights. Contractors must register with the village ore permit can be issue
SIGNED /!� %''r
BY /