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JUN. 22. 2007 2: 39PM
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ELECTRIC CONNECTIONl369S92l
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F1:b. 12 211'NO. 590 3;~~ P. 9/15
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St~ Lucie COIIOtY
B uUdln~ " Zonln¡ De.pllrtment
%300 Vlrgini. Â\'.nue
Fort fiera., 'L 34912
11 ¡..4ó3.11'!
Fl&x "~4t2..6rS43
Requ est for 3O..Pøy Temþorary Powflt' Release
Dalt!: (¿,~ ¡¡.. 01 ' petnlhN-Umb~r:~1Q3 ..03lf~ß
'IWÐrt~:dr:'¡ q 4l~ W1DQ£1 f+ c; (c1~_
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1'H"& lTNÐER51GNED :REUB" REQVAT REt.EASE OF EL~CT1\JCÂJoI POWE:Q. TO TØK
ABOVE DESCRIBED nOPEJ,TY, IOK A PERIOD NOT TO EXCEBD THIRTY (30) VA YB, ~OR
THE: pURPOSE OF T.&8nNG ~;YSTEMS AND EQUIPMENT IN PJU£PAIlA nOM fOR FINAL
INsncno}'(. IN CONSJD:&R"nON OF ArMtOVAL OF 11Œ REQUEST"'E IJEREBY
ACKNOWLEDGE AND AGREE AS FOLLO\VSI
J _ 'I'hJt tlwporärl ,,,....,t nb.. It 1'tQuù'lfCI Cor Iht .bQ",. It.11d pUrpose ~").rl
.nd tJMl'l! "1M bl DO H.QI~.~1 .r ."1 1)'pe, olb.,. tban 1Þ.~ ptnrdlœd b, ..on.,",~!lon
...-t-, thb '"" perlad,
2. A. ."Blts b,y ÐUr ,,-"11\11-1'. ~f "_r,,,, 4~re' tAl .baa" b)" .J1.erm. and ~oftdl"(n.
ftr tt)~ ..,...11" .,d..hle Ð,d'-iln. Dlvt.JoJt POlkj' "hldll. tnwrpo&'~"cI bartr" b)' rdft"tnu.
~. All co.wltloat .aei rt4J~frcmMtl J&tori ill 0. I~Øabe4 ,,,UO\mI iDtftltd
4'JteqUlrtlftlnltJ for 30 n.,~ ~t~ rnrf'øll.....· bay, hø.-IUIßlkd ~ð u.. ".atl. 11 ....dy tor complinK~ Inlþ,cIJO~
4, An r_qau's rOt .." _*1Ørllr b,yorul :YO dl)'llnUJt bt ",,_4, 11\ wrltfrc b tit. 81dldJ)~ OmdlJ .~t1h" dn~ fQUfÞn
'or thl r.qveit. P01lVer nJlI1 bG twtnov_d rroJn t'm ...(~ andfor. scop Work 0rrJ.~ I.,...d If t~~ '*,11 thJþec:tiou
h.. ft,t ~een .pp"YÐd "'.thin 30 411.~ A 1to af l1ßO,OO "'11' !II ftq~\re4 tea ,,,. ø.e Stop Wõrk Order.
\YE H~RE'BY "RXLEA.SE AND AOJ:1t£ TO HOLD HABMLESflJ ST. LUCÌS COtINTY, AND
TREla BMPLOYBES FROM ~J.,L LIAÐILIßEB ÂNP CLAIMS OF ANY TYPE OF NAT[TR!
WRICH MA V ~RI$E NOW O]~ IN THE FU1'01\E our OF nus TRAN8~CTlON, INCL~'DXNG
ANY DAMAGE WHICH MA"f BE JNCURRED Dt'E 1'0 THI J>rSCONNSCTlON OF
EI,.ECTRICAL POWER IN T¡~& EVZWT OF VIOLATION or THIS AO'REtMlNT.
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DATE
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~LEC1~R '~L CONTRA C1 R AtG~i^ JUlia ~ ~
DTù~ IPW .~...
TT __, W-=d-.1- 01
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JUN. 22. 2007 2: 39PM
ELECTRIC CONNECTION
FAX NO. ;17728715525
NO. 5903 P. 8/15
Apr. 10 2007 12:08PM P2
FROM ~ELECTRJCCONNECTION
ST. LU;C.IE C UNTY PUB~LIC WORKS
BlijrLDJNG & ON.ING DEPARTMENT
n U~DJNç~EnMIT
$t1D-CON" 'RACTOR AGREEM RNT
St. LucIe County COJ1t1'actol' Cl;t1.iOcD1ion Nu ber: ..~ fl., 0.5 5 .
State of Florida Cerllû~ti()n Nun:.ber (Jff)J1plic Me): _~ Oc:::x¿~
Elec+r,c rtMJ1Q@ +to
(C()InPQny NarnclIn(livid~al Name)
·Sf e C!+r lÇ.~~ sub-oOß ractor for Q.e(\.\-ex: 't~ ~
('ryp~ ot'Trade) (.PrÎßJWY Con(r~{~tor)
--....~-~
have agree<J to be tl1e
for tho project located at. q ~ \ q W ì Nlr, ++ ti rcl ~
¡(Projed. S ðtAddreS3 or Propeny Tax ID f)
It is understood that~ if there is any cl1 uge ofstatu$ regarding our·pðrti.oipation with the
above mentioned projectJ I W~1J imm iatefy advise the 'Building rmd Zoning Departn~enl
ofSt Lucie Cou~ty by perBon~lIy RUn. a Change of Con lracto r notice. (Fol'fn: SJ.CC')V
Nò. 004.()O)
BUSINESS QUALnII;~ (Nam of tho Indivíduol shQwn on the ContractQr'S Licen9~)
Business Nalnò:
Addl·e.~$:
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OFFICE USE ONLY:
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ISSUE PATE
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