HomeMy WebLinkAbout30 day power release • 04-23-'20 13:54 FROM- 7728787656 T-798 P0001/0002 F-945
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THE UNDEMGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE A 30VE DESCRWED
PROPERTY,FOR A PERIOD NOT TO.QX-M— }TMTY 0.0)PAYS,FOR THE PURPOSE OF'TEMkG SYSMMS
AND EQUIPMENT IN PREPARATID,N.FOR A FINALINSRECTLON: IN CONSIDERA7TON OFAPPROVAL OF TI-tE
wr:-H*E Y ACkNOWLED.M ANa AGRIrE•AS FOLLOWS:
1. TLaIs UPPMory power MMM Is reg0Mted:frog the above$Mbed ptpom tdy,and there �be no
Occupancy of any Lype,9t�i than that p%rm*It tad by toh irurtton during this tamO-period.
z. 'AsWbiess by our stgrrdtrries,we heNby agte to.abide by afl'tierrns ar t aoridiYfons of this agreernerit,
including BL91ding Driston.Pbltc;y,which is incorporated herein by ne4erenee.
3. AH c;ondltl0s.'and reCjWetndnts••IisW in the attai died document e6tiied"Requirements fnr 30 Day
Power for TesdflV have been fu fitted and the prernlse is Teddy for compliance.inspectton.
A All roquests fear ate eftnsion btpnd 3b.days Twit be.made in wr tSng bD tiae Budding official sung
the reaton for the request. Pov►er maY'be removed ftrn the slma.andfor a S o Wor-Ic Order issued if
the Final inspection has hot been apprr W imthin 30-days, A fee of$100.oD will be.required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOP)HP,.AMLESSI ST.LUCIE COUNNt AND THER EMPLOYEES FROM
ALL LIABI=ES AND agMS OF ANY TYPE 0 N,ATUE E WIRICH MAY ARME NOW OR IN THE FUTURE OUT
OFTM TRA�I.MCTlON,INCLUDINd ANY'DAMAAGE.vl HI 4.MAY Bt T11IG J >�UE TO•THE
DISCON.NECAN OF BECT-RICAL PO bR m THE e&W OF VIDLAnw DF 7m A M
OWN ep,'SIGNA'LU DAM A 1
t"aEQNTRi4CR- DATS
ELECTRICAL CON RACM. SIGN-T—URE DATE
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