Villages C P4-CN 930209HOLD HAP. Wn'.I~SS AGR~F.M~NT
~DDR~SS ),
ACKNOWLEDGE THAT THE ~ ~I~ IS LO~D ON ~IR PROPER~
~C~S O~ ~ CI~ OF COPP~ ' S D~ ~~;
~, ~ ~ ~E~ ~ ~~ ~T IN ~Z
~p~ OR ~~S ~ ~Q~D ~ ~ ~Z TO ~ CI~ OF
~ iNS~T-~.~ D~PI~ ~~ OF ~ CI~'S D~ ~;
~ ~T ~Z ~ ~ SU~ ~ ~ ~IR ~ COST ~
~ON ~Q~ST ~ ~ CI~ OF COPP~, ~ IF ~ F~ TO ~
~ F~ ~ON ~O~ST BT ~ CI~, ~ CI~ ~ ~
~.~. ~ OF ~ ~ ~ ~ ~I~ ~S~ F~ ~ CI~'S
~ OF SU~ ~ ~I~ ~p~G, INSPECTING, ~R~NG OR IN
~ ~ ~ ~Z ~ CI~ FOR ~0~ COSTS INC~D IN
~NG ~ ~-
,.
Contractor: T-BAR F'~E or)., TNC.
Description of Work to be Done
BUILDING PERMIT APP ON ij r -, /8,993 '
Print or Type in a Clear. Legible ManQd~ L ~ ~ '~ ::~, '
//
· - \~/ '
Class o! Work:
Address: 1803 PEYCO DR. N.
~.-
I~lAdditlon
APL. ,TX Phon~ #; (l~'rttO) 817 467-0412
[] Alteration [] Repair [] Demolition
"Area of Building in Square Feet
Fir~l Floor
Second Floor
Garage Vslne of Work ~, ~0 o,o
to bo Performed '~
NOTICE
l'his permit ha~omo nuU and void if work or construction authorized ia eot comm~a0mi
~aiihin 180 days, or ~onatmctinn on v~k is susp~ndad or' atmndonmt for · p~rind of
ya at any tlm~ ai~ work ia comme~nced.
I hereby certify Ihal 1 have read ~md cxaminad this application ami know the ~am~
ami correct. All provisinm of ¼w~ ami oadin~cea ~oveming ~ tyl~ of work will
compiiad wiih whether specified har~ia or not. The ~'amin~ of · permit does nos. preaum~
~ive authority to vinlat~ or cancel tha provisions of any oil'.e~ fed~l, slate or inqal law
r¢~ulatin~ coo~truc~inn or Ihs performanc~ of conslz~ctina.
Si&mature of Contractor or Auihodz~d A~ent Print Name
GRAY .aREA FOR OFFICE USE ONLY
Electrical Contraclor Plumbing Contraclor
M~.han~c~ Contractor
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