Devonshire 1-CN 930420HOLD HAP~MLESS AGREEMENT
x WHEREAS THE OWNER OF LOT /; I , BLOCK , ~ ~THE
StmDIVISIO , /39
(~D~SS), COPPE~, 'l'~ (T~ O~ER) ~DERST~D ~
AC~O~EDGE ~T ~ FENCE ~ICH IS LO~TED ON ~IR PROPER~
ENCRO~S 0~0 T~ CI~ OF COPPE~ ' S D~I~GE ~;
~, T~ 0~ ~E~T~D ~ AC~O~DGE ~T I~ ~E
~PAIRS OR I~RO~S ~ ~QUI~D TO BE ~E TO ~ CI~ OF
COPPE~'S D~GE ~E~ ~ICH WO~ ~QUI~ ~MOV~ OF
FENCE IN O~ER TO EFFECT SUCH I~RO~S; ~D
~, ~ O~ERS ~COGNIZE ~ AC~O~EDGE T~T SUCH FENCE
W~ INST~D DESPITE ~O~EDGE OF T~ CI~'S D~I~GE ~E~;
O~RS ~BY AGUE TO ~MO~ SUCH FENCE AT ~IR O~ COST
~ON ~Q~ST B~ T~ CI~ OF COPPE~, ~ IF O~RS FAIL TO
T~ FENCE ~ON ~Q~ST BY T~ CI~, ~N CI~ WI~ ~MO~ SUCH
FENCE ~D O~ERS ~BY INDE~IFY ~D HOLD ~ CI~ ~ESS FROE
~.~. C~ OF D~GE TO ~ FENCE ~ICH ~ISE FROM ~ CITY'S
~MOV~ OF SUCH FENCE ~ILE ~PAIRING, INSPECTING, I~ROVING OR IN
~ WAY SEEKING ACCESS TO ~ D~I~GE ~E~. ~DITIO~IJ'Y,
O~RS AGUE TO ~I~SE ~ CI~ FOR ~O~LE COSTS INC~D IN
REMOVING THE FENCE.
/ (o~
( owner )
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F-41.4
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~-41.4
BUILDING PERMIT APPLICATION
Job Address:
Class of Work:
Owner: ~) ~ ~1
Contractor:
Description of Work to be Done
Print or Type in a Clear, Legible Manner
Su ......... ~) ~/0bdivisi°n: D ~/o
Date:
Phase or Section Number:
Address: ~ ~ ~
Bo 037 ~Ot Phone#: [-~0 g~. __
~N~ ~Ad~tion ~ ~teeation ~ Re.ir ~moli~on
Area of Building in Square Feet --
First Floor
..... Garage.
Second Floor
NOTICE
This permit becomes null and void if work or construction authorized is not commenced
within 180 days, or construction on work is suspended or' abandoned for a period of 180
day's at any time after work is commence~.
I hereby certify that 1 have read and examined this application and know the same to be trae
and correct. All provisions of laws and ordinances governing this type of work will be
compli~ with whether spec fled herein or not. The granting of a permit does not presume to
g~ve authority to violate or cancel the provisions of any other federal, state or local law
regulating constracfion or the performance of construction.
Signature of Contractor
Electrical Contractor
Agent
Plumbing Contractor
Mechanical Contractor
Value of Work
to be Performed_. ~ '~ .~
GRAY AREA FOR OFFICE ONLY