HomeMy WebLinkAbout30 day power release 45-29220 10:40 FROM- 7728767656 T-927 P0004/0006 F-122
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7172-462 i� M-77,2462-6 3
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THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELF-:=CAL POWER TO THE ABOVE DESCRWED
PROPERTY,FOR A PEMOD NOT10 EXCEED THIRTY(30)DAYS,FOR THE PURPOSE 0F'TESTING SYSTEMS
AND EQUIPMENT IN PREpARATICKFOR A FI 4AL INSPECTION; 'IN CONSIDER MON OF APPROVAL OF THE
REQUJEST WE'H (ACKNOWLEDM AND AMEE AS FOLLOWS:
I., Ttm Wwary paver release is requested fpr the aboard std pposo-ady,and that vii be no
occupancy of any type,other tan that pl?rmitted tty coli Wcdon dung this time period.
2. 'As'witness by our signpluves,y�is ks agree lb ablde,by-all teas and tariditions of this agmemw t,
lncl4d!hg Building Division.Policy,which is lncorporaW herein by rdlarence.
3. All conditions:and mqujremmts.1isrBd in the attar-bed dec=ent entitled-RFquimments for 30 Day
Po ►er for T,6Zrjgp Baas.been fulfilled inn the premise is re*for comprrance.inspection.
4. All requests for art ectendon beyond 30-days must be.made in wribmu tD the Buiicling.of dai stating
the r. on'for the request Paver may be removes from the ss^te..anftr a Stop ftrE Order issued.?f
the Fill Inspecfiion has not r�een approved within 30'days, A i6e of $ 00.00 will be required to lfft
the 5`top Work birder.
WE,HEIZEBY RELEASE AND AGPIMTO HOLD HIMLESS,$T. LUCIE COUNTY,AND THBR ENWLQYI�FROM
ALt LWIEIT S AND.CLAIMS OF ANY T1�E t}F�iA`�:!!�1�HICH MAY APISE NOW OR IN MIE F1J rURE OUT
bF Ti tIS TRANSAG fiON,INCLUDING ANY DAKN(X*HICPl::N1AY fir=Il1lCU4RED DUE TQ�
DISCONNEC170N OF ELE CAL Pb�IN THE E EW OF V70LATION OF PIIS AQ1EEMWT.
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s"Ai�iTt#Ct't7 DATE
ELIC,`fRTCAL CON11RAC?M SIGNATURE HATE