HomeMy WebLinkAboutNSFR2018-004484Temporary gas has been requested for the purpose of construction,
remodeling, addition or improvement to the following described
property. It is understood that this release in no w f author'
occupan,cy,of the building. Itisfurtherun erstood that this temporary
release is for a thirty (30) day maximum time period and the undersigned
releases all claims that may occur through accidents or spoilage of any
type resulting from said gas power being turned off at the end of theo—,
thirty (30) day maximum time period.
ADDRESS LOCATION OF TEMPORARY GAS RELEASE:
. 2080 Holt way Grapevine, TX
ADDRESS.
PERMIT NUMBER:
. ... ......
CONTRACTOR INFORMATION
7
Cast Construction roup
NAME OF APPLICANT:
7
ADDRESS OF APPLICANT: ,,--77131 ColtqyvLille Blvd #103
CITY, STATE, ZIP: Collee
vvill, TX
TELEPHONE NUMBER:T'' C-801'-652-6496—�
RM
INSPECTIONS FOR TEMPORARY GAS MUST BE REQUESTED
-- W-
AT (817) 410-3010
1112.411
BUILDING OFFICIAL SIGNATURE:
o 'JormliG-temp
DATE: