Huntington-CN 940223HOLD HARMLESS AGREEMENT
~4~.REAS, THE oWNER OF LOT ~--3 BLOC..K,~,~ ., OF THE
,a,_ -
~), COPPE~, '1'~ (~ uwa~; ~"" PROPER~
AC~O~EDGE ~T ~ FENCE ~ICH IS LO~TED ON ~IR
ENCR~S O~ ~ CI~ OF CoPPE~ ' S D~~GE ~~;
~ ~, ~ 0~ ~E~T~ ~ A~o~EDGE ~T IN ~E
~p~ OR I~RO~S ~ ~QUI~D ~ BE ~E TO ~ CI~ OF
COPPE~'S D~GE ~ ~I~ WO~ ~QUI~ ~MO~ OF ~
FENCE IN O~ER TO EFFECT SU~ I~RO~NTS; ~
~, ~ 0~ ~CO~IZE ~ AC~O~EDGE ~T SUCH FENCE
W~ INST~D DESPITE ~o~DGE OF ~ CI~'S D~I~GE ~E~;
0~ ~B~ AGUE TO ~MO~ SU~ FENCE AT ~IR O~ COST ~
~ON ~Q~ST B~ ~ CI~ OF COPPE~, ~ IF 0~ F~L TO ~
~ FENCE ~ON ~Q~ST B~ ~ CI~, ~N CI~ WI~ ~ SUCH
FENCE ~ 0~ ~B? I~I~ ~ HOLD ~ CI~ ~ESS FROM
FROM ~ CITY'S
AT.T~ ~ OF D~GE TO ~ FENCE ~I~ ~ISE
~0~ OF SUCH FENCE ~I~ ~p~RING, INSPECTING, I~ROVING OR IN
~ WA~ SEEKING ACCESS TO ~ D~I~GE ~' ~DITIO~I'L~'
0~ AGUE TO ~I~E ~ CI~ FOR ~0~ COSTS INc~D IN
~MO~NG ~ FENCE.
owner )
BUILDING
Print or
_~!~k: ~ Subdivision:
)11'~;~' Hmse or Section Number:
Description of Work to be Done
Address:
~!~ of Work: I~ ~ew I-IAddition
Fi,uiie#:
I--I Alteration [] Repair
Area of Building in Square Feet
First Floor
Second Floor
Ga-q~ge
NOTICE
This permit b~com~ null and void if work or coastruc~on authorized is not
within 180 days, or eonstruc~on on work is suspended or' absndoned for a period of 180
I hereby certify that 1 ~av¢ read and examined this application and know the same to be L~uc
and correct. All provisions of laws and ordinance~ governing this type of work will be
complied with whether specified herein or not. The granting of · permit does not presume to
give authority to violate or cancel the provisions of any other federal, state or local law
reg~inting construction or the performance of comtrucUon.
Electrical Contractor plumbing Contractor
Mechanical Co~tractor
Value of Work
to be Performed
GRAY AREA FOR OFFICE USE ONLY
I~ Demolition
, /