HomeMy WebLinkAbout30- day for power 09-222 20 08:58 FROM- 7728787656 T-314 P0001/0001 F-665
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T�7- 14.. Fax. 7724624443
724624443
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Project AddreSs: c3\
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THE UNDERSIGNED HERBY REQUEST RELEASE OF ELECTRICAL POMIM TO TME ABOVE DESCRIBED
PROPERTY,FOP,A PERIOD NOT T'0 EXCEED THIRTY(30)DAYS, FOR TIME PURPOSE OFTESTING SYSMMS
AND E MENT-IN PREPARATItIN FOR A.FINAL.INSPE?ZQN. 'IN CONSIbStATION OF APPROVAL OF THE
F' QUEST
V&HEUSY ACKNOWLEDGE AND AGFrEE AS FOLLOWS:
I. 'mals to�raiy Pmw rd#zse is requemd fpr the above cta a Pim only,and ftn wil be no
acWparuy of any type,other than tot perrrnihed by coon during this time period.
2. A•witness by our sigrtdtu s,vu a-hereb)f agree to abide by-a terms and conditions of this agreement,
inclutGi7g t3ttilel'st�Divis,on Policy,whicia is iricorpor�herein by reference. .
3.. Ail•conditions:aizd requirements Wd in the aitOtred docent er0ed'Wuiremerf for 30 Day
Power for Testing'*fivi:been ful€ile grid the prTrAse is ready for compliance inspecdon.
4. All requests for art eXtension beyond 3b days must be:made in 3wit5ng bathe Btfdding official Swung
the ma�orf for the request. P fth may be remevetFftm the site.and/or a Stop Work-Wer issued.if
the Final Inspecbpn has riot keen approved*lain 30rdays. A Pea of$100.00 will be required to li€i
the Stomp Work Order.
We.HEREBY RLLP.ASE-AND.AGREE TO HOLD ffM.NILE§S ST: I.UCIE COUNTY,AND THOR EMPLOYES FROM
ALL LVWIf,;I'MS AND.CLAIMS OF ANY TYPE.OF SAT RE 1l H10i KAY ARISE NQW OR IN THE FUTURE OUT
OFjffl�'iM,8ACTION,INCLC;DIl�l�'ANV 1 A+�IAf EV=l K IAY 13 !Nl1 lItR�Ir1UE TO.TtIE
D NWW-- dX3N OF kkC-M- CACoC+V vi TI E' F OF OLA17ON-OF IRDS AGREEMW.
OW4�ER•SI 1?A
N C t7R: i .DATE
CT#t CAL CQM i`AC.T0R SIGNATURE DATE