HomeMy WebLinkAbout30 day power release 05-19-'20 13:45 FROM- 7728787656 T-902 P0001/0001 F-085
PUir1B Vices. .
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R--eques1t for-30- %Tem -Power:Release
THE UNDERSIGNED.HEREBY REQU,E57 RELEASE OF ELEC MCAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FOR A PMOD NOT TO EXCEED THIRTY(,M)PAYS,FOR THE PURPOSE OFTES7Ii1iG SYSTEMS
AIR EQMPMENT IN PREPARATIdN.FOR A RN 4tL INSP,ELTTON. *M CONSI)3ERA1I0N OF APPROVAL OF THE
-HERMY ACR OWLED6E AND A'8 ft AS FOLLOWS-
1. This Vxnpomry Power release is requeMd lbr teabove d Fuse olaiy,and tm wM be no
occupancy of any type,der#ran that pemAted by co fstruction during this timt period.
2. Mvibiez by our 8igna4mi4s,*.heteby agree to abide by Aff terms and coriditlons of thls agreement,
Jnciuding Building}Division P614cy,which is incoMorttul herein by refe►enm
3. 'Aff condi bns:and mqui=- r nts.$sted in thi§a=&,.eed doc=eot en'Wed'"Ro *.errients'for 30 Day
Power tnr TeS nq,7 haie been fulfilled'and the premise is ready for compliance Inspection.
-4. All requests for aie extension beypnd 3b-.days mu!t be.made in writIhg to the Building Official stating
the rmson'for the rggyest. Power may be removedftem the slue for a Shop Work-order issued if
the J„oral Inspection has not been apprmi�d within 36-days. A fee of$100.00 will be requh�d to 1i2�
the Stop Work Order.
WE HEREBY RELEASI='AND AGWTO HOLD HARMLESS,S7% LUM COUNTY,AND-nim EMPLoym FRom
ALL LM94MES AND.CLAIMS OF ANY TYPE 01=NATURE WHICH KAY AIDE NOW OR IN THE FUTURE OUT
bf"Ti -MN9. CMQN,INCL'UDIN.G AI�IY DANIi4CE'VIIItEICFI NU�Y BE iNCU DUE"C0 Tf$
DISCONpecmN OF.IILEC mcAL Pom m THE Evtw or-=1.A=N oF Tm AGmEma
UWNt=R'SIGIVATUR DATE
G ODJC1-tom. DATE
ELECTRICAL CONIXALTOR SIGNA'l•un DATE