HomeMy WebLinkAbout30 day power release May 29 20,09:39a P.1
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Requeft fOr 30-Day Temporary Power Release
Date: PeWit Number., lq)q
Pr6jcitlAddreSS' ni-R f Pl— LAA)F-7
-MF-UNDERSIGINIED HS�ESY REQUES;r RELEASE OF 9-ECMCAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FQR A PMOD NGT TO e(CEED-1HIRTY(30)DAYS,FOR 7HE PURPOSE OFTESnNG SYSM-41,;
AND EQUIPMENT IN PREPARATION FOP,A FINAL IINSPECrION. IN CONSIDERA-flON OF APPROVAL OP THE
R_QUES WE HEREBY ACY%NOWLEDGE AND AGREE AS FOLLOWS.
I. '[Wis ternporary Power release is requested for the above smtod purpose only,and there will be rki
omupmV of any type,other tfidn tkot permitted 14f cc nVtn&fon during itis time perido,
2*- As vftcss by our signatures,Ove hereby agree to abide-by all Item K and conditions of this 6greement,
iWvTuig Building Division Poky,which Is Incorporated Wielrt by refuenm
1 All contriWns and reVrements flst in the attached docs ent enttled"'R�irerr*nt5 fbr 30 Dq
Potmer f br Testing have b---n f uh1fled a r4 the pTernw IS ready I;br cam jAiance inspecrbn-
4 tild ng a] tift
- Ail reWesm for an edension beyond 30 days ma be made in writing to the S i I Offic! sts g
the reason forftrequett,. Pavnr mmy be mmoved from ffie skeatWora Stop Work U-0-s-issued if
the Final Inspection has not bm approved whin 30 dap- A fee of S100.0D wflt be requh-ed in 10t
the3tDp Work Order-
WQ HMkSY REIZASE AND AGREETO HOLD HARMLESS,ST.LUCIE ODUNTY,AND THEIR EMPLOYEES FROM
ALL UABILTTIES AND CLAIMS OF AW TYPE OF NATURE WHICH MAY ARZE NOW 0R. P4 THE F=RE OLPf
OF TiE TRMSACaON,INCLUDING ANY 0*1AGE WMCK N%Y BE INLURRED DUE TO THE
DISCONNEL".10N OF ELECMCALPOVr4R IN THE EVENT OFVIOLA-RON OFTiiIS AGREEMENT.
DAT ES
5,-e2 7.26 ,
GEN ERA-L LOi~ &GNATURE DAT
SIGNATURE DATE