HomeMy WebLinkAboutPL 1974-712 New Single Family Dwelling y
2/, o u Permit No. / /.)--
VILLAGE OF OAK PARK HEIGHTS Plan No.
$ v (Building) (For Dept. use only)
TOTAL FEE COLLECTED
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE)
APPLICATION FOR PERMIT (y
Date '2i-- / 19/
T0: STRUCTURE USED AS
REFRG. HANG
BUILD PLUMB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
MARK Ili II Ll
SQUARES
BY X
Owner — - ---
L " i Address C ` -
Architect — Address
General Contractor 0... .A. \N\ 0.1Y��- Address 7 � e 'J� '
Contractor Reg. No. U
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
/r‘ l/ t5 Pr 71 sr YL • it 1
LOT BLOCK ADDITION OR TRACT
a-
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO.OFSTORIES TYPE OF CONSTRUCTION ' ESTIMATED VALUE
STRUCTURE
0 YES DETAILS OR REMARKS: �. . „!,
BASEMENT o
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 I;V___ /��'