HomeMy WebLinkAboutPL 1973-680 Addition rP ✓ '_S Permit No. lint°
a 6 VILLAGE OF OAK PARK HEIGHTS Plan No.
$ �� ( Building)
(For Dept. use only)
TOTAL FEE COLLECTED
DOLBLE FEE COLLECTED
ACCOUNT ORDINANCE _ 11 6..3 VIOLATION V� �+
(MARK X IN SQUARE)
APPLICATION FOR PERMIT
Date /,V- / 19
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To:
RUCTURE USEi A
REFRG, HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES I 1 Li
BY X .
Owner e-.) ...� e r r6 S Address
Architect Address q ,p �J)
General Contractor ire I/ / / Address 9> >> C�'6� /-� ./j h/
Contractor Reg. No. V-..."---52—
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
.sif/ -8 hiPX
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO. OF STORIES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
❑ YES DETAILS OR REMARKS:
BASEMENT -
3 NO /
�a�ct.c e r (3 i A �i Olt 41 or
� hh h P.7"/
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 :44
BY � (�/L