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JUN. 22. 2007 2: 40PM
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ELECTRIC .C.ONNECTION13698921
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Feb. 12 20 NO. 5903~~~ P. 13/15
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St. L1Jc:iO CoøntY
Dul1dlnl" bnlnø Depllrtment
2300 Vlr3ipla A ".nue
Yort "trat. 'FL :WH2
'1'12.""'~.¡ 165
FIK ?'~'(i2...5d.43
RequOti.t for 3O-D01 TemþoraJ:'Y po",et Relep~
D"~: L~· 01-.: Pa:rødtNumbtl':S1t~Q191::-03~
J'ropcrty Aðdr.-I ~..lN ·n~.rl£+ C" (t/\ t.
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1"11& lTNDdS'GlŒÐ BE:RED~( lUtQV~T REL£A8t OF £T..ECnICAL POWER TO Tim
ABOVi DESC.X8ED PJ(OPEJ~n", FOK A PERIOD NOT TO EXCEED T81Jt.1'Y (OO) DA YB, 'fOR
THE pURPOSE or TiS11NG In'SŒMS AND EQ'UJPMENT 1N PJŒPÂ:R^ 110N roR FINAL
1Nsnc:nON. IN CÓNSIDR'110N OF APPROVAL OF THE REQUEST \\'E hEREBY
.ACK~OWLEJ)GEAND AGRBBA5 fOLLOWS:
J. 1'".. tfmpor.ry pqWtf 1'1111... It "'Q~û1.ð ~r the: _kg. fI.I14 puppMe ..]'1
.nd ~ wid b. øo H41)tÞiflC:¡Y .t ."y \ypt:, oth.r '-.. ,...t ~rmhted br ~,~'rQt!tton
tIaIft-e t-..1bm pe~o'¡,
" .AI.'.... by 00" .~...tlll·G~1 w. 1w"''Y :a~rcl tb .'JtlCl'! bJ alll~r'ml and t\ondUI!Jn.
or tblJ .~t; Jþdv.'IUe,lh..,ndl", DtYldoJJ Pðltt,· ~hleh I. tnco,",Or.II"" hard" b)' refmmct.
j, AU condlU/)ØI IU n'.'"~ UJtM Î1I ta I",~ .f04IIl\cnt tDtltltel
~Juq'Utremlflt.t rOt 30 .." p~el' torTøllnt' ~'fl bee- I\lØMkd -,11 ~ "'0'11- 11 nldy for ecIEbJlltnøc.e In'J'tll:lkI~
4. An 1'11181811 tor II" ...t.I1-'''' b.,ond :lð ..,. m~t .... mille In -nuN b tile 8vttdl6. om~I.. ,~WtC &.he raa~
'ot' lht ttq\1f11t. row If tn.)' be rtlßl)v.d fram tbE db: andl~. S'CÞP Wo~ Ordtr '-td I' ~\fI rjetl.1tI'pedìall
ha. Mt &t!tI' .ppnyod ",jtbit1 30 dl).. A t9:o of $1",,10 QlJIf till "q'tred tø 11ft th. Stop Wøt"k Ot(h:t.
''IE ")J.REIY RELEASE ANÐ AGtc1tE TO HOLD JIARMLE'SS, ST. 1,Ucm COt1NT\", AND
tøi:IR EMPLOYEES FROM ~~LL LIABILITIES AND CLAIMS OF ANY TYPE OF NA TtfR!
WRICH MAY AIlISJ NOW OJt IN THE FtJ1,'01\E om O~ nus 'fRAN,..cnON, INct\.'DING
ANY DAMAGE WHICH MAY JIB JNCURRED DtJJ£ TO 'fBE DJSCONNSCTlON OF
)t1.ECTRICAL POW]tll IN Tlnr, EVFl'lT OF VIOLATION or THIS AOJU&EMEN'r.
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JUN. 22. 2007 2:40PM
· FROM : ~LECTR I CCONNECT r ON
ELECTRIC CONNECTION
FAX NO. :17728715525
NO. 5903 P. 12/15
~pr, 10 2Ø07 12:08PM P2
ST" LUCIE C UNTY PUBJ:.,¡C WORKS
BU[LDJNG & ONJNG DEPARTMENT
B 1JJÐINC PERMIT
S1JJJ-CON· 'RAcrok AGREEM RNT
St.. Lucic CÖ\lnly COJ)trttåor Catißcation Nu ber; __ (1.1 0 5/5 _
State oíFJorido. Ce.rtlficaUon Num~èr (Jfø1pJi blc): ~ QQQ :;¿q3ß .
EIee+rJo ('bnt\Q~t(
(Company Nf1Inel1ndivid 1 Nnme)
'Sf e ~+r l r.~--i ~ub-con råctor. for ~-e (\ t€.>c 'i~ J
('lypc:: ut'Trnde) (PrirrulIY Conlrttcto\')
-~~I-
have agreed to be tlle
for the project located at q ~ 5 W ì Nlr", f+ Cì re! ~
~(PrQJeC1. S ~ Addres, or Property trax ID 'II)
It is understood that, if there i$ any ch nge ofSta1'uslegarding our·participation with tbe
above mentioned project, I w~11 imme iatelyadvise the Buildmg tmd Zoning Departn~enl
ofSt.l",ucic County byp~rson~Uy filin. a Change of Contractor notice. (Form: SJ.CCf)V
No. 004..()O)
BUSINE S QUALn~IF1~ (Nllm oflhc Individual shown on the Contractor7s License)
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