HomeMy WebLinkAboutPL 1974-766 New Single Family ' /�
JO Permit No. 1 CD
$ ./-;: 67 . (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED (For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE 1 1
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date CL0- b 19 11'
To: A-C -P J
STRUCTURE USED AS
REFRG.
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK
BY
SQUARES I l X 1 I U I I I l
)
Owner — - s�ilikL Address
Architect / Address
General Contractor � r I /..�W : Address l A P• • A 1 Ili
Contractor Reg. No. if
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
l`/S�6 Ur �o Qr G IA S T /�/
LOT BLOCK J ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NQ OFSTORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT O No NO
OR REMARKS: l0 7e/ L , r . P�
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 permit can be issu
SIGNED 7 3 /0
BY