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2360 Virginia Ave: 6u!A!wJad ',qunoD z)pn-
Ack Plame, F6 34902 L�Z 91 , VN
772-402=2165 Fox 772-4 � .� �
Request for 30-Day Tamporar l Power Release
Date: =4-0 8 Perth Numbor: `i 902-0085
Prof Addrassl 4940 S. 25th.8to Fort Pierce, FL. 34982.
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THE UNDORHIONED HEREBY REQUEST RARE OF ELECTRICAL POWER TO TIC ABOVE DESCRIBED
PROPERTY, FOR A PERIOD'N0T TO INCOED'THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING HYff"
AND EQUIPMONT IN PREPARATION POR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I.' Thi§ b@mpomfy Power e@I@agq i§ requ@a€qd°The the above 4AM Purpo§o only, end there will be no
occupancy of any ty�, other then Teat Permitted by €oh§t ctlon during thl@ time Period,
g. A§ witflm by our €iQflatuFe§, we hereby,59r€@ W wide by all t@rM§ and €enditi®flg of We @gF@@m@% 3
including Building Diviglah Peilcy, which rN incorporated heroin by n*mrim,
gA All condition® and r@qulr@m@nt§ ll§ted ia.tho @tMch@d document @nad@d "R@quir®mohtg fbr g® Day
Power for T@ &99 hm been fulfill@d and the Premig@ ig ready for Compliance in§powon.
4. All r@gga§ib f@F an @ teflgi@h beyond g® day@ mu§t be made Ih writing to the ®uilding Of dal Acing -
Me mdgon for the mgd@§t. Power may b@.fofnw@d from the §ice and/or a stop Worse Ord& i§§ued If
the Final ingp@€don ha§ not b@6n approved wlhin g® days. A fa@ of $100.00 will be iVquIF@d W lift i
the Stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,.ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIARILiMt E-S AND S OF ANY TYPO: OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSAO31 O , IN LUDING ANY DAMAGE WHICH MAY ®E INCURRED DUE TO THE
DISCONNECTION g E-kE QAL POWER IN THE EVENT DE VIOLATION DE THIS AGREEMENT.
08/04/20