HomeMy WebLinkAboutPL 1974-827 New Single Family � �-�#� Permit No. noaN
CJ --O VILLAGE OF OAK PARK HEIGHTS Plan No.
$ (Building) (For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date in— a. 197
To: STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK
SQUARES y I J
BY X I\ L_
Owner le • •%,0_,,,t Address
Architect Address
General Contractor \ \N. Address 9 s2
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
1h /‘9/ �� G rL S-r - a
LOT B rj<A___ ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
DETAILS OR REMARKS: ��
BASEMENT ❑ YES
❑ NO
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