HomeMy WebLinkAboutPL 1974-696 New Single Family 5 O n�W Permit No. l
$ a 6--0 (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED
DOLBLE FEE COLLECTED -
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date 3- 13 19 7 /
To: STRUCTURE USED AS
REFRG. HANG
BUILD PLU HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK
SQUARES U
BY X
l
Owner \SCLAAA-0j Car) Address Iy �� -4' S t. a, . n,.
Architect Address
General Contractor R l N Q a1 U . Address 9V7 W 6--r- ` -' Pi
Contractor Reg. No. .��� � ID c.✓tc_ r,r r4,
NUMBER STR SIDE BETWEEN WHAT CROSS STREETS
S
LOT . BLOCK ADDITION OR TRACT
laC
1 1 . ' ' te a - a .g
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
. LOT
WIDTH LENGTH HEIGHT NQ OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS:
BASEMENT ❑ NO
r: OvWLO.PrnT, -t .�
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 issued.
SIGNED
BY .. . r 4/