Waters Edge P2-CN 940615HOLD HARMLESS AGREEMENT
/-~ ~ , n, L k~mr~. SUBDIVISION,
(ADDRESS), COPPE~, T~ (T~ O~R) ~DERST~D
AC~O~EDGE ~T ~ FENCE ~ICH IS LO~TED ON ~IR PROPER~
ENCRO~S O~0 T~ CI~ OF COPPE~ ' S D~GE ~;
~, ~ O~ ~E~T~D ~ ~O~EDGE ~T IN ~E
~p~ OR I~RO~S ~ ~QUI~D TO BE ~E TO ~ CI~ OF
COPPE~'S D~I~GE ~ ~IC~ WO~ ~QUI~ ~MOV~ OF T~
FENCE IN O~ER TO EFFECT SUCH I~RO~NTS; ~D
~, ~ O~E~ ~COGNIZE ~ AC~O~EDGE T~T SUCH FENCE
W~ INST~D DESPITE ~O~DGE OF T~ CI~'S D~I~GE ~E~;
O~RS ~BY AGUE T0 ~MO~ SUC~ FENCE AT ~IR
~ON ~Q~ST BY ~ CI~ OF COPPE~, ~ IF O~RS F~L TO ~MO~
~ FENCE ~ON ~Q~ST BY T~ CI~, ~N CI~ WI~ ~0~ SUCH
FENCE ~D O~RS ~BY I~E~IFY ~D HOLD ~ CI~ ~ESS FROM
AL~. C~ OF D~GE TO ~ FENCE ~IC~ ~ISE FROM ~ CITY'S
~MO~ OF SUC~ FENCE ~I~ ~P~RING, INSPECTING, I~ROVING OR
~ WAY SEEKING ACCESS T0 ~ D~I~GE ~. ~DITIO~TJ'Y'
O~ AGUE TO ~I~SE ~ CI~ FOR ~O~LE COSTS INC~D
( o~er )
Job Address:
Contractor:
BUILDING PERMIT APPLICATION
Print or Type ina Clear, Legible Manne
Block: ~ Sub~vi~on. ~ ~
~'~--/~ //~ .~ 6-<2
T-Bar Fence Inc.
Address:
Address:
Description of Work to be Done Class of Work: ~ew I-IAddifion
6' wood Fence
Phone #:
1803 PeyCo Dr.
Phone #:
817-467-0412
[] Alteration [] Repair [] Domnlltiml
of Building in Square Feet
First Floor Garage
Second Floor Other
NOTICE
his permit becomes null and void if work or construction authorized m not commenced
within 180 days, or construction on work is suspended or' abandoned for a period of 180
days at any lime after work is commenced.
I hereby certify that I have read and examined this application and k~ow the same to be true
and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified herein or not. The granting of a permit does not pr~ume to
give authority to violate or ¢~n¢¢1 the provisions of any other federal, stat~ or local law
Ganzalo Almendarez
Signature of Contractor or Authorized Agent
iElectrical Contractor Plumbing Contractor
Value of Work
to Pe fo m //
GRAY AREA FOR OFFICE USE ONLY
I
NC)RTH _122 .~
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