Rozas Addn-CS050428Transmittal No.
TRI-STAR CONSTRUCTION INC.
220 Elm Street, Suite 100
Lewisville, TX 75057
Voice: 972.221-5558 Fax: 972.219.7099
Transmittal
Form # 091602
TO: City of Coppell - Engr. Dept.
225 Parkway Blvd.
Coppell, TX 75019
972.304.3681
Date: 4/28/2005 Project Nc 05-004
Attention: Charlene La Mat/ina, E.LT.
Re: Roxas Properties, LTD
632 Sandy Lake Road - Coppell, TX 75019
We are sending you:
[] DRAWINGS
[] SHOP DRAWINGS
[] SPECIFICATIONS
[] SAMPLES
[] EPORTS
[] COMPUTER DISKETTE []
[] CONSTR. PERMIT APPLICATIOIx []
Sent By:
[] v.s
[] REGISTERED MAIL
[] MESSENGER
[] EXPRESS MAIL
[] ELECTRONIC MAIL
PICK UP
BLUE PRINTER
[] FAX
FAX NO.: 972.304.3514
NO. OF PAGES:
(INCLUDING TH1S COVER)
[] HAND CARRY
Copies Date No. i Descnpt~o
One (!) 4/28/2005 ] tConstruction Development Permit Application.
! ~ !Inspection Fee Calculation Sheet ~
~ ~ lVicinity Map . --
[ .... -~ : Check No. 30360 for the sum of $4,683.84 for the Inspection Fees~
These are submitted as checked below:
[] FOR APPROVAL
[] FOR YOURUSE
[] AS REQUESTED
[] FOR REVIEW W/COMMENT
[] PRICING
[] NO EXCEPTIONS TAKEN
[] EXCEPTIONS AS NOTED
[] REVISE AND RESUBMIT
[] REJECTED
[] FOLLOW UP
[] SUBMIT SPECIFIED ITEM
[] FOR DISTRIBUTION
[] PLEASE ACKNOWLEDGE
RECEIPT BY SIGNING BELOW
.... Copies , Enclosures
Remarks: ]Job File 05-1104 []
4/28/2005
RECEIPT ACKNOWLEDGED BY SIGNED ~ O. Donaldson Date
DATE / TIME: (1£ enclosures are not as holed, please not/fy us at once)