HomeMy WebLinkAbout30 day power release 05-29-'20 10:39 FROM- 7728787656 T-927 P0001/0006 F-122
v.
- �' : " . iia ���i�i~����r�� •°mii'1���� •
z• _K .
� ► .
-� K .
4roI� �� -461, -6443
Risqu fot,'9!- Tat* Om er Rise
PMect Address: �... .
THE UNDERS'IGNED HEWN REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FOR A MOD NOT TQ M(CaEa THIRTY:(,M)'I� s:AYS,FOR THE PURMSE OFTESTING ms
AMb EQUIPMENT`IN PREPARA710N FOR i!AA FTNAL.INSPeRibk IN 001N D1rM ON OF APPROVAL OF THE
iii S� WE•H 1'ACKNOWLS)6E•AND ASE FOLLOWS:
1; MdStWgMry pmvToose is•m quesd for tbeabove-sled purpose only,vW ftnvAbe rig
errrpancy cif any4W,o'then that pernMed by corwt tion during this tirnt.peda&
2, As-wMnm by our s%g Res,vie-herd y agrea.tb a'6fde by illi turns and conditions tt1'ft agreeme ,
including Building D!vlsion,Pbfto/r W. c h is incotliat i h6rdn by referenm
3. All conc104m and requireMeats.fistW in the atlathed doeurha t endued'Tequirern,erb-for 30 Day
Power fbr Tesiingg ham been fulfilled and the premise is ready for complrrande,inspection.
4. Ail requests far art eNtargon hWorzd 3D days must be:made in wriitiitg to the Wilding offhdal-stating
the re'esmn>:or tbe request: Power maymustbe removed ftm°the situ and/or a Shap Wbrk.drder issued If
the Flnall Znspectibn tsps not been approved wilfiin 30-days. A tie of$100.00 will be required to lift
the Stop Wank Order.
WE H BY REt,�A�,E•AND AGS TO HOLD HAAMLASS Sl% LUtIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIAeIl; $AND.c.L'Aim s'OF Amy TyOEz OF N.ATR!! i4b l4AY ARS NQW-OR IN 7HE.RITURE OLrr
OF THIS Ti,ANSA�ON,INCW-DIiuG El'4Y i AN(At 'it4 MAYBE INCUR OUE TO'THE
�3 NNEC i .-.0F,�LEC M 'PDQ IN'TFiE•-E11F11f VWiA-a0N OF iHLS AGRFE@ ;
R DAIE'
ELEC3 ZfiCPiL CONTFtAL"f(R FGNATURE DATE