HomeMy WebLinkAbout30 day power release 04-13-'20 13:09 FROM- 7728787656 T-782 P0001/0004 F-912
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Tfif UMERSIGNED•HEREBY REQUEST RELEASE OF ELECMICAL DOWER TO THE ABOVE DESC RMEP
PROPERTY,FOR A PERIOD NOT TO.EXCEED Ti4IRTY(30) MY,%FOR THE PURPOSE OF'TESTING SYSTEMS
AND EQUIPMENT IN PREPARA170N.FOR A.FINAL.INSPE�Ohl,; IN CG)NSlDW-110N OF APPROVAL OF THE
REQ�WE•H Y ACINO11d LEOM AND AdR •AS FOLLOWS:'
I. This lfmporaty pOwff r0am is.rfteswd for the above stated purpim only,and Mere Wai be no
ooWpancy of any type,ogler than that perrnifted by cohstt on doting this time period.
Z. 'AS•wil Hess Eg our$ignaturgs,mio herby agree to abide by-Ml tenons and corid'[dons.of this agreement,
inclUdlhg Building UMsion.Policy,wbirh is incorpo►a' herein by reference.
3. Alf Wndiftns.and rehire mepts.fisted in the attached ddcument embed"Requirements for 30 Day
Power for TeOftc R have been fulf(lled and ft premise is ready for compliance jnspecoom
4. Ail requeft for ah won bi�ypnd 30.,days'must be:made to wfttQ to the Building Of1•idal staring
the reason'fbr the request': Power maybe remNee from the slte and W a Stop fiN,ork.Ordow rued If
the>rirkel Inspection has not been approved within 30'days. A fee of$100.00 will be required to lift
the Step Work Order.
WE HEREW RELEASE.AND AGREE TO HOLE,HAkM ESS sl,L.UCIE COUNTY,AMID THEIit EMPLOYEES pROM
ALL LTfUBI=, E$AND•CLAIMS OF ANY TYPE.OF NATuRE WHICH MAY ARISE NOW OR Int THE FUTURE OUT
Q Ti-i S T 1iVaAC[I N, INCW--DING AN'Y'DAI�IAG'E 1NVIICH-MAY BE INCU 3 DUE TO•THE
DISC0N C rMN OF ELECTAiMl_pOlJlf� IN Tl'£EVI:l1fl'6F VIO A17•C N OF THIS AGREEM
OWNER`SIMTURE DATE
N CON N DATE
EL�C"TP.�CP:L CONTRAG. R SI<GNAIURI; DATE