HomeMy WebLinkAbout30 daysDate: / -_,
Project Address:
THE UNDERSIGNED HEREE
PROPERTY, FOR A PERIOD
AND EQUIPMENT IN PREP,
REQUEST WE HEREBY ACK
1. This temporary pc
occupancy of any
2. As witness by our
Including Building
3• All conditions and 1
Power for Testing„
4. All requests for an
the reason for the i
the Final Inspeetior
the Stop Work Ord,
WE HEREBY RELEASE AND
ALL LIABILMES AND CLAI
OF THIS TRANSACTION, IP
DISCONNECTION OF ELFc-
CONTRACTOR
!?erlrt(t Number.-.,,; z
7.1 71 -
Y REQUEST RELEASE OF ELECTRICAL POWER TO THE: ABOVE DESCRIBED
NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SWEMS
TION FOR A FINAL. INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
OWLEDGE AND AGREE AS FOLLOWS:
ver release IS requested for the above stated purpose only, and there will be no
/Pe, other than that permitted by construction during this time period,
fgnatures, we hereby agree to abide by all term
and conditions OF this agreement,rence.
ivIsion Policy, which is incorporated herein by ref e Nufrements listed in the attached document entitled "Requirements for 30 Day
,ave been fui0ifed and the premise is ready for compliance inspection.
xtenslon beyond 30 days must be made In writing to the Building Ofticlal stating
'guest, mower may be removed from the site and/or a Stop Work Order Issued iF
has not been approved Within 30 days. A fee of $100,00 will be required to lift
;REE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES Fp
OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
UDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
OM
CAL POWER IN THE EVENT" OF VIOLATION OF THIS AGREEMENT,
DATE
,71
t?ATE •-�•�—