Date : om's 
TOWN OF ADDISON 
TENANT FINISH OUT REMODELING 
PERMIT APPLICATION 
Building Inspection 
P.O. Box 9010 
Addison, TX 75001 
Permit # 
E-mail: ,—A— 
(id`s L 
JAN 14 20191 
N: 
Construction Address: 
,Osler nalsea.-D( ]5001 
Suite Number: 
Subdivision: 
Lot 
'Block 
Building Owner: 
Mike Hodge - Weitzman 
Phone 
214-720-3536 
Mailing Address: 
3102 Mata Avenue. Suile 350 
City: 
Dallas 
State: 
TX 
Zip: 
]5201 
Geneeap tra or: 
TBD ..�. �'} FriV�✓ 4l� 
Addison Lie. No: 
Phone: 
Mailing Address: 
City: 
State: 
Zip: 
Plumbing Contractor: 
TBD 
Addison Lie. No: 
Phone: 
Mailing Address: 
City: 
Stater 
Zip: 
Mechanical Contractor: 
Ten 
Addison Lie. No: 
Phone: 
Mailing Address: 
City: 
State: 
Zip: 
Electrical Contractor: 
Teo 
Addison Lie. No: 
Phone: 
Mailing Address: 
City: 
State: 
Zip: 
Irrigation Contractor: 
N/A 
Addison Lie. No: 
Phone: 
Mailing Address: 
City: 
State: 
Zip: 
NOTES: 
An asbestos survey has been conducto l in accordance with the Texas Asbestos Health Protection Rules (TAHPR) and the National Emmissom Standards for Hazardous Air Pollutants (NESHAP) 
for me areas being renovated and/or demolished. YES X NO_ 
• If the answer is No, than as the ownedolnum er of the renovation/demclitlon site, I understand that it is my responsibility to have this asbestos survey conducted in acwrdance with the Texas 
Asbestos Health Protection Rules nAHPR) and the National Emission Standards for Hazardous Air Pollutants (NESHAPI prior to a Smo setionldemolition permit beim, Issued by the Town. 
T.A.S.# By: 
TA&es.'sou're 
10 
DATE ISSUED: i nns � yf 1 i GT ( I 
('S✓I 
Work Being Done: 
[ ] New Bid. [ ] Ext. Remodel 
[ ] Int. Completion [ ] Pool 
[ ] Addition [ ] Irrigation 
[ ] Repair [ ] Other (Explain) 
[x] Int. Remodel 
Date of Application: Timis 
PERMIT TOTAL: 
$sy0'oac 
Utility Information 
Size Number Gas In 
Water Meter Y Y.^ Building 
Sewer Tap a' [ lY f IN 
provisions and mquir f on a of Ordinances and any other applicable ordinance. This permit is issued only for the 
purpose of allowing c nstructi confo g t e wde nd ordinances of the Tom, regardless of information and/or plans submitted. 
Retail - Mercantile 
Ross Dress For Less 
APR 16 2019 offic,ey use onl 
Payment Type: Date:''7i Q ( Receipt: �jJ%'S�