Waterside E P2-CN 941031HOLD HARMLESS AGREEMENT
(~D~SS), UU~, -~-- ,
AC~O~E~E ~T ~ FENCE ~I~ IS LO~TED ON ~IR PROPER~
ENCR~S O~ ~ CI~ OF COPPE~ ' S D~GE ~;
~, ~ O~ ~E~T~ ~ ~o~DGE ~T IN ~E
~p~ OR I~RO~S ~ ~QUI~D TO BE ~E TO ~ CI~ OF
COPPE~'S D~GE ~ ~ICH WO~ ~QUI~ ~MO~ OF ~
FENCE IN O~ER ~ EFFECT SU~ I~RO~S; ~D
~, ~ 0~ ~CO~IZE ~ A~O~EDGE T~T SUCH FENCE
W~ INST~~'~'RD DESPITE ~O~DGE OF ~ CI~'S D~I~GE ~E~;
O~ ~B~ AGUE TO ~MO~ SUCH FENCE AT ~IR O~ COST ~
~ON ~Q~ST B~ ~ CI~ OF COPPE~, ~ IF O~RS F~L TO ~MO~
~ FENCE ~ON ~Q~ST B~ ~ CI~, ~N CI~ WI~ ~O~ SUCH
FENCE ~D O~ ~B~ I~I~ ~ HOLD ~ CI~ ~.ESS FROM
~ ~ OF D~GE TO ~ FENCE ~ICH ~ISE FROM T~ CITY'S
~MO~ OF SUCH FENCE ~I~ ~P~RING, INSPECTING, I~ROVING OR IN
~ WA~ SEEKING ACCESS TO ~ D~I~GE ~. ~DITIO~IJ'~'
O~ AGUE TO ~I~SE ~ CI~ FOR ~O~LE COSTS INC~D IN
~MOVING ~ FENCE.
(o er)
( owner )
STANDAIRD PAClH¢
HOMES
$ ~5'04'15" E
,,S
N 65'17'01" £
16,82'
N 24'0g'20"
20. Z' £userne~t
Modol 8330 R
£ ~ Ex,'xllt~ 31'uue
F - Finished Or~d¢
FF - F/n/shed Floor
BUILDING PERMIT APPLICATION
Lot: ,~>O~w Block:
Print or Type in a Clear, Legible Manner
Owner: ~(p?d./~fC~/ y~Ct/..~L Address:
Contractor:~7~,~2~/' ~/~- ~ ,
Class of Work: [] New
Description of Work to be Done
Subdivision:z~5 / ~/~
Phase or Section Number:
Phone #:
Phone g:
[] Alteration [] Repair [] Demolition
~xea of Building in Square Feet
First Floor Garage
Second Floor Other
NOTICE
This permit becomes null and void if work or conslructiou tmthorized is ne~ commenced
within 180 days, or construction on work is suspended or abandoned for a period of 180 days
at any time after work is commenced.
I hereby certify that I have read and examined this apphcation and know the same to be tree
and correct. All provisions of laws and ordinances 8overaing this type of work will be
complied with whether specified herein or not. The granting of a permit dces not presume to
give authority to violate or cancel the provisio~ of any clher federal, state cf local law
regulating / shmction or the pefforma..n of constmaion. ,
'g ~*i~Contractor or Authorized Agent - Print Name
Ekxarical Contractor
Plumbing Contractor
Mechatfical Coutraao~
Value of Work
to be Performed
GRAY AREA FOR OFFICE USE ONLY
FPMC - 1 (4/94)