HomeMy WebLinkAboutPL 1972-379 NewSingle Family A l2ay
, ST) At-ob-, Permit No
$ 073 �� (Building VILLAGE OF OAK PARK HEIGHTS Plan No._
TOTAL FEE COLLECTED (For De
DOUBLE FEE COLLECTED
ACCOUNT ORDINANCE
VIOLATION
(MARK X IN SQUARE) /9 72-
APPLICATION FOR PERMIT
Date
T0:
STRUCT
REFRG.
MARK BUILD PLUMS. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE
SQUARES J/`�f Ij Li
BY X
Owner %)L-er<.-) . Address
Architect Address
General Contractor 'a,�..) &A) • \rl\CLZ EL& Address q
Contractor Reg. No.
NUMBER STREET t SIDE BETWEEN WHAT CROSS S
,j—p 6 6/14A1,teLlu,(4_,-->c.
LOT BLOCK ADDITION OR TRACT
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUI.
LOT
WIDTH LENGTH HEIGHT NO.OF STORIES TYPE OF CONSTRUCTION ES-
STRUCTURE
o YES DETAILS OR REMARKS: d '
BASEMENT NO
The undersigned hereby makes application for a permit to do Building Work as herein specified, agreeing to do all work in str'
all ordinances of the Village of Oak Park Heights. Contractors must register with the village before permit can be issued.
SIGNED
BY