Eagle Point-CN 940303HOLD HARMLESS AGREEMENT
W~ZRZAS, T~m OWNER OF ~.OT~___, BLOCK ~.'- , OF T~Z
~ ~ ~ S~DI~SIO~, ~D[ ~ ~~%
(~D~SS), COPPE~, '~'~ (~ O~E~) ~NDE~T~D ~
AC~O~DGE ~T ~ FENCE ~ICH IS LO~TED ON ~IR PROPER~
ENCRO~ S 0~0 ~ CI~ OF COPPE~ ' S D~GE ~~;
~, T~ 0~ ~E~T~ ~ A~O~EDGE ~T IN ~E
~p~ OR I~RO~S ~ ~QuI~D TO BE ~E TO ~ CI~ OF
COPPE~'S D~GE ~ ~ICH WO~ ~QUI~ ~MO~ OF ~
FENCE IN O~ER TO EFFECT SUCH I~RO~NTS; ~D
~, ~ O~E~ ~COGNIZE ~ AC~O~EDGE ~T SUCH FENCE
W~ INST~J'LED DESPITE ~O~DGE OF T~ CI~'S D~I~GE ~E~;
O~ ~BY AGUE TO ~MO~ SU~ FENCE AT ~IR O~ COST ~
~ON ~Q~ST BY T~ CI~ OF COPPE~, ~ IF O~ F~L TO ~O~
~ FENCE ~ON ~Q~ST BY T~ CI~, ~N CI~ WI~ ~ SUCH
FENCE ~ 0~ ~BT I~I~ ~ HOLD ~ CI~ ~SS FROM
AT.I~ ~ OF D~GE TO ~ FENCE ~ICH ~ISE FROM ~ CITT'S
~0~ OF SUCH FENCE ~I~ ~P~RING, INSPECTING, I~ROVING OR IN
~ WA~ SEEKING ACCESS TO ~ D~I~GE ~E~- ~DITIO~I'I'T'
O~ AGUE TO ~I~E ~ CI~ FOR ~0~ COSTS INC~D IN
DATE ~ ~ ~ ,, Lo~r~ ~,..~, ~ ~.
~ ~ ~ ~o~=)
Description of Work to be Done Class of Work: ~'~ew rlAddition
[] Alteration [] Repair [] Demolition
&rea of Bulldlng in ~luare Feet
First Floor Garage,
Seco.d Floor Otber
NOTICE
Th~ pmnlt beeome~ null and VOid if work or ~ombx~tinn autho~z~l is not co.me, cod
within 1~0 days, or construction on work is suspended or' abandoned for a period of 180
days at any time after work is conunenced,
I lafeby certify that I have ~ and exsmined this appli~atinn and know the same to I~ m~
and cot~et. Allprov~ions of law~ and o~dinanc~ govomlng thin type of work wffi be
~npliod with whether sp~ified horein o~ not. The gnmtln~ of a p~.mlt dina not presume to
give authority to vinlat~ or cancel the ptovisinm of any other federal, state or ineal law
Value of Work
to be Performed ~S,=~(.~
GRAY AREA FOR OFFICE USE ONLY
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