Villages C PW-CN 920629HOLD HARMLESS
WI-I]~RF.~S, ~ ow{~ of Lot 13 , Block A , of the Villages of Coppell IVA
Sulxiivi~ 823 Lakeview Dr. (a~ktre~), ~ T~ (the ow,~.~) umi~m,~mt
s~ ~ ~ ~ fence ~e~ ~S ~ O~ ~ ~
~ ~ t{~ (~y ~ ~S Dr~na~e ~ement ; ~
Drainage Easement
~,t]~~.~~~ fe~ce
~ ~ ~ of ~ C~s Drainage Easement :
fence ~ t]~ir ow~ co~t all~ ~,-poIl
I~]~l~'~ i~ the Cky of ~,~p]~]], ~ if OWll~'$ fluff tO r~,love the fence
~ fence ~H
Drainage Easement
(Ow r)
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
~m~': ~ Address:
Ad :
Description of Work to be Done Class of Wor~.' ,~['New f-lAddition
[] Alteration [] Repair []Demolition
Area of Building in Square Feet
First Floor
Second Floor
Other
NOTICE
This permit beeome~ null and void if work or construction authorized is not commenced
within 180 days, or constmctinn on work is suspended or abandoned for · period of 180
d~ys at any time after work is commev, ced.
I hereby certify that I have read and examined this application and Imow the same to be true
· ed emTeet, All provisions of lav;s Ind oedinance~ fovernJng this type of work will he
complied with whether specified herein or not. The granting of · permh does not presume to
five authority to violate or cancel the provisions of any other federal, s~ate OF local law
regulating cons·lotion o~ the performance of eonstmetinn,
~'~ 5ifflamre of Conttaetor or Authorized Agent Pf~t Name
Value of Work
to be Performed'
GRAY AREA FOR OFFICE USE ONLY
I'lumbina Co~mor