HomeMy WebLinkAbout30 day power release 08-26-'20 10:40 FROM-
7728787656 T-215 P0005/0046 F-530
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THE UNDERSIGNED HEREBY REQUEST REWSE OF ELECM�CAL POWER TO THE ABOVE DESCMED
PROPERTY,�011 A PSUOD NOT TO EXCEED THIRTY(30)DAYS,FOR THE PU00Siw 0F'TE5MG SYM-D4S
AND EQUIPMENT IN PREPARATION POR AFMLINSPEMON. R4 CONSIDMATIQN OF APPROVAL OF THE
AEQUetr WE-HEI tY ACkNOWLW3�E ANb AkEe M 1 dLLOWS:
1. TWs tempormy power Weam is requested for the above wed p 4ose onk and lbere Will be no
occupancy of any tpe,otter than fhat peanitted by ocaixstn4!on during V*tame period.
I As,witness by our sign�6im we heroby agree WzVide by all terms and coridittons of thts agreement,
inctudihcg t3uilding DWon policy;which is mcorpar'ated het�in ty n?ftrence.
J. Ali conditions:and tet�ileirt listed in the adaOed•document ended"Requirements for 30 Day
Power fi r Testt q-haw been fulfilled and the premise is r%dy for eompiiance.inVection.
4. All requeft for;eh-eXtentlon heyond 30 days.must k e'rrrade in writing to tete Sodding Official staring
the•reason for the rquest Power maybe removeef ftm the site anc ybr a ftpW.o*Order issued-if
the C-Rai Inspection has not been approved wlifsin 30 days. A fee of$'100.W will be regWred to hft
the Stop Work Order.
WE.HEREBY RELESE AND AGREE TO NO-LD HARMLESS, . LUC IE C:OUN7Y$AND THEIR EMPLOY FROM
ALL LIAR ES AND.CLAIMS OF ANY TYPE*05NATURE E WKCH MAY ADZE NOW OR IN THE FUTURE OUT
OF•TKS TRAN�iSACMON,INC,L(�I?N' ¢BEY°fy, A.t3E`VSFFtICi�I NiAY l3E�SGU�R�)OUE TU THE
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>1EC4 CAL d0N7 AC MR SIGN RRE DATE