HomeMy WebLinkAboutRequest for 30-Day Temporary Power ReleaseJUN—lb-99 TMU 11:00 AM NJS r NJPT 973 369 5596
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Post•It' Fax Note 7671 D•4 T&I
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FOR M
RmuEST FOR 30 DAY TEMPORARY PowER RELEASE
DATF.:
PErtMrr NuMnaA:
Prtopswry AvuRtas:
at. Lucie County Comm, DeW. Dept.
Cody Complienw Division
23W. Virvinle Avenue
Poft Pieroe, FL 34982-5052
Ph. (581) 402- 2166
Fax (581) 462-1735
ffERCR
LVIA, R
THE UNDERSIGNED HEREBY REQUEST RELIBABE OF C;VM asi ik,YO
THE A80VE DESCRIBED PROPliRTY, FOR A PORIOD NOT TO EXCEE
DAYS. FOR THE PURPOSE OF TESTING 6YSTP-Mil AND EQUIPMENT IN PRGPARA-
VON FOR FINAL {NSPECTION. IN CONSIOERATION OF APPROVAL OF THIS
REQUE8T MIE HERESY ACKNOWLEDGE AND AGREE AS FOLLOWS:
i . This temporary power release is requsslad for the above mated purpose
only, and there Wilt b4 no ompenay of any type. other than that permitted
by conehictlon during this ttrr►e period.
2. As v tress by out WMaWM, ww hereby agrae to ablde by all terns anti
randltione of this bgreement, InOlUding Ouiwtn® GIVIAtan Policy, which in
incorporated herein by rohrence.
3. All conditions od r+equIranaab Wed. in the attached document eAtillad
"Requirements for 34 Day power for Teetinp" have been fulfilled and the
prerniseg is needy for compliance inspection.
CIP We hereby release and agree to hoed harmless, 8t. Lucie County, and their employees
from ail Ilabiildes and d4IM4 of any We or nature wblch may trite now or In Via future
out of this traneaadlon, induding any damages which may be inounud due to the
disconnectlon of eIeeftal powar In the event of violation of this agreemenL
• n . e
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