HomeMy WebLinkAboutPL 1973-539 New Single Family Dwelling ,
� �.
` a� `. �� Permit No. �'
$ 023.co (Building) VILLAGE OF OAK PARK HEIGHTS Plan No.
(For Dept. use only)
TOTAL FEE COLLECTED DOUBLE T E RDLLECTED - . ek ACCOUNNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT �,
y�
Date / ) I Q-2 ...& 2/ 197
To: STRUCTURE USED AS
REFRG. HANG
MARK BUILD PLU HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES
BY X _
HANG
941—"-1/4-4--4-) Address t" /6-C-- Pet--Li, 4:-E.,--(-- rl '
Architect Address
General Contractor (-.--)— Address
Contractor Reg. No.
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
6/4-5- / - `-1'/
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
BASEMENT
O YES DETAILS OR REMARKS: / ;'
O NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in strict actor ce with
all ordinances of the Village of Oak Park Heights. Contractors must register with the villag r permidr be issued.
SIGNED . / r
BY
•