HomeMy WebLinkAboutPL 1975-477 New Single Family �Jb Permit No. 477
$ g s ' (Building) ' )y _ VILLAGE OF OAK PARK HEIGHTS Plan No.
TOTAL FEE COLLECTED
(For Dept. use only)
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE) -
APPLICATION FOR PERMIT
Date 1"2-- 19
T0: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES -
BY X
Owner / it Q (J e p r Address -5 /.47,il
Architect Address
General Contractor /2y' JJr Address 5 7 w T`.,1�� �. 1 1' /P
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
s,o/ D
/J/
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 ❑ NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all wor in strict accordance with
all ordinances of the Village of Oak Park Heigh+ Contractors must register with the village bef - permit c )e iss .
SIGNED c .j / `6+•
B