HomeMy WebLinkAbout30 dayRequest for 30-Day Temporary Power release
Date: 'U 2-1 / Za
Project Address: �q
Permit Number: 2-+->o z, - o, s!)
&-,," 45�7-
THE UNDERSIGNED HEREE3Y' REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF
AND EQUIPMENT IN PREPA TION FOR A FINAL INSPECTION. IN CONSIDERATDESCRIBED
WE HEREBYION 0 ACK OWLEDGE AND AGREE AS FOLLOWS: TESTING SYSTEMS
F APPROVAL OF THE
1. This temporary pc
occupancy of any
2. As witness by our
Including Building I
3- All conditions and i
Power For Testing"
'4• All requests for an
the reason For the i
the Final inspectior
the: Stop Work Orde
WE HEREBY RELEASE; AND A
ALL LIAI3ILMES AND CLAIM;
OF THIS TRANSACTION, INC;
DISCONNECTION OF El- "r.�
SIGMA
CONTRACTOR
WWe,release is requested for the above stated purpose only,
e, other than that permitted by construction during and there will be no
this time peeled.
Ignatures, we hereby agree to abide by aff terms and conditions of this agreement,
1lvlSI0n P011cY, which Is Incorporated herein by reference.
iquirements listed In the attached document entitled "Requirements for 30 Day
lave been FUIRIfed and the premise is ready for compliance Inspection.
xtenslon beyond 30 days must be made In writing to the Building official
'quest, Power may be removed from the site and/or a statingStop Work Order issued if
II
not been approved 'within 30 days. A Fee of $100.00 w1A be required to 11Ft
;REE TO HOLD HARMLESS, Si', LUCIE COUNTY, AND THEIR EMPLOYEES FROM
OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
UDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
CAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
DATE