Villages C P4-CN 921203HOLD HARMLESS AGR.EE.MENT
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~~ ~ ~ ~ ~I~ IS ~D ON ~IR PROPER~
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~ON ~O~ST BT ~ CI~ OF COPP~, ~ IF ~ F~ TO ~0~
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-
BUILDING PERMIT APPLq -. * .
Contrncto~: T-BAR FENCE (X). ~ INC.
Description of Work to be Done
Print or Type in a Clear, Legible .1~?~ IN~ECTION
Ad~: 1803 ~ ~. ~. ~.,~ ~:(~'t~) 817 467-0412
Class of Work: [~N*ew I-JAddition
[] Alteration [] Repair [] Demolition
Area of Building in Square Feet
First Floor
Second Floor
NOTICE
This permit becomes null and ~oid if work or construction au~ is not commenced
within 180 daya, or construction on work b ~u~pondnd or' abandoned for · period of 180
days at ~fly time trier work is com~eflcnd.
I h~eby ceflify that I have read and examined this application and know the aame to be Irue
and correct. All provisions of Jaw~ and ordinances ~overninf Ibis type of work will be
;~mplied ~ wbeth~ specified herein or not. The Fantimr of · permit do~ not pr~ume to
give authority to vinl~te or cmtcel the provisions of any othe~ federal, state or local law
regulating cons~ctinn or the performance of comtruction.
Signature of ~ ~r Au'~.,,;~d A~mtt ~ ~4ame
GRAY AREA FOR OFFICE USE ONLY
LEGAL DESCRIPTION
GRAND HOMES
~O0 ~ ~ ~WY ST[ 330 I)kU.A~, ~r. XJ~ 7S2~1 (214) 7SG-SS2B