HomeMy WebLinkAbout30 day power releaseDevelopment ServicesBuilding-& Code Regulation'Division,
• 2300 Virginia Ave
• Foftpierre' FL,34982: FCEd IV96
772-4624165 Fax.7.72-462- W,
I 'JUL 2 0 2020
Request.'fbr 10-Day'Temporary Power
Date:. -_2AA6
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Project Address:
ST. Lucie County,
Winit.Number: 2- &)c5/ --- � -49:2 '71
THE UNDERSIGNED HEREBY REQUES - T RELEASE OF
AND EQUIPMENT
T IN PRE
REQUEST WE, HEREBYYA
1. Th ra
occupancy
�s,= , r)
u of i
2. Asvvitness by ,
,including Build
23. All, conditionsj
Pomr for Test
A tAll requests, fbi
the reason for
the Finial Insjx
the Stop Work
FOR A
power release is re
iy type, other than
4r signatures, we t
ig Division Policy, i
in
DWER TO THE ABOVEDESCRIBED
ik THE PURPOSE -OF TESTING SYSTEMS
comibtRATIO
. - � N,,OF APPROVAL OF THE
� stated - purpose o6ty; and, there V,Wfl be no
istructibn during this time period. by all
,frrn
i!s,a ind conditions d - this agreer6ent,
iereih by reference.
I
current ment entitled"RequiremeriMflor 30.Day
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS., ST. LUdE,.COUNTY, AND THOR 9MPLbYEES'FR6M1
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT`.
OF THIS-1RANSACTION, INCLUDING ANY DAMAGE WHICH;MAY BE INCURRED DUE TO -:THE
DISCONNECTION OF ELECTRICAL POWER IN THE-EVENT'OF VIOLATIONr 0 ' F THIS AGREEMENT.
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