HomeMy WebLinkAbout30 day power formPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
• Fort Pierce, Fl. 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date' rti / Per -tit Nur1' W:1ra-q " d 4 7
PraxCt ACCrM:
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THE UNDFSI NTD -RFRY RKUES Furl =kSCi- EEECTRT A: Pf7tiMER TO THE 0OVF DESCRIBED
PROPERTY, FOR A PERIOD NUT -0 EXCEEi. THIRTY (30) DAYS, F€IR THE PURPOSE OF T7 `_STING SYSTEM
AND EQUIPMENT IN ;REPARATION FOR A FINAL INSPE-7I0N, ih CONSIDEUTTON OF APPROVAL of T�i=
REQM %SIE rTREE-- AClCAOW"`DGE ANC AGREE AS F0Lt0r:;S:
t. This imp wy Xe. er rt ease S rr xAeG for the aMvt stEM pr ,WA cnly, a'4 thel WM W r*
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YO'-ERE'S" RE - EASE AND IY PL-Or TO HQL- ST, _UCM C'WNTY, a+\C :HEIR EMPLJYES FRCS
ALL LM -rnF-S AND CLAIMS Or ANY TYPE OF NAVE WHICH MAY AUSE NOW OR IN THE PJTURE OU'
OF 'MIS T2A!<< CA, IKWD:NG R Y DAMAGE Wrs]CH MAY B= INCURRED OLE TO Trit
D'AONNECTICAi OF ZeC-WA- POMMt *-N THSE FVP.T OF 4OLATat OF CIS A.-PLEEMer,