HomeMy WebLinkAboutRequest for 30 Day Temporary Power Release' •"l A" ' iTIC^ TRUS'S COMPANY 954- - 8237 P. 1
FROM iTYE UPS STORE 3214 772 S62 2623 2004.- I 12:56 eras F:eivDc.....
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REQUEST FOR 30 UAY TEMPORARY POWER RELEASE
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PERMIT NUMBER:
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PROPERTY ADDRESS:
ST. LUCIE COUNTY BLDG. &
FORT PIERCE, FL 34
h (56I)
NOV *07e
�( St. Lucie County Pub_— ihyy�8
1� Rr�t S 7
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELEC CAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN
pECTION. IN OF
PREPARATION FOR FINALTHE QUEST WE HEREBY ASCKNOWLEDGEONSIDERATION AND AGREE AS FOLLOWS:APPROVAL OF
1. This temporary power release in requested for the above stated purpose only;
and there will be no occupancy of any type, other than that permitted by
construction during this time period. agree to abPAe by all terms end
2. As witness by our signatures, we hereby a g
conditions of this agreement, including Building Division Policy, which is
incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled
•Requirements for 3o Day Power for Testing' have been fulfilled and the
premises is ready for compliance inspection.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY,
ARID THEIR EMPLOYEES FROM ALL LIABUXITES AND CLAIMS OF ANY TYPE OF
NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS
TRANSACTION, INCLUDING ANY DAMAGES WHICH MAY BE INCURRED DUE TO
THEDISCONNECTION OFELECTRICAL POWERINTHE EVENT OF VIOLATION OF
THIS AGREEMENT. A ��
OWNER
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