HomeMy WebLinkAboutInspection Docs, req for 30 day temp power release form 12-10-'20 15:41 FROM- 7728787656 T-621 P0005/0010 F-048
882.
Re4rai3 fbr'SO-Sa j 4**pbrsrV'Power ftaTesse
Pmjaft Address;:
THE UNDERSIGNED'HEREBY REQUEST P LEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
EPJ PROPERTY,FOR A P OD NOT TO EYOCFED T14IR`t'Y(30) DAYS,FOR THE PURPOSE OFTESMG SYSf€MS
AND EQLHPMENT IN PREPARAMON FOR A FINAL INSPECiZQN. IN CONS tRMON OF APPROVAL OF THE
MUM WE-HOZMY ACKNOMMGrz AND AGAa AS FOLLOWS:
1. This teMwrarY ower•r&m iS�equested for the a ove$ ted purpose only,and themwM be Teo
occupancy of any tY.. other than that petmitted by cni str uctfon during this time period.
2. As witness bg our slgnat�4s,v'-here'Sy. agree to abide by-90€arms and conditions oF�ts agreement,
lncldCH 0 Building DM!flon.Pblicy,wlzltFt is irtcoYporated herein by ref wce.
3. All aondfiions:and requhmepm fisted in the attkhed document entb2d"Re'quirerxtents-for 30 Day
Power for Testing"have been fulfliled and the pi an ise-is ready far compliance•inspection
4 Adl request for an a0ention beyond 30 days mutt,be:made in writing W the Building OFflcial stating
the reasorf for the request~ Power maybe removed"ftm the site,ancVbr a Stop Work-Order issued if
the Flnaf inspection has not been approved wfhfn 30 days. A 6 e of$100.0 will be required to lift
the Stop Work Order.
WE MESY RELZASE-AND AQl EETO HOLD HARMLESS,Si'. LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIA�_rr B MD.MAIMS OF ANY TYPE•OF NATURE WHICH MAY ARLSE NOW Ott l N•THE FUTURE OUT
OFT TP-ANgAC n,.Ok,INCL[TL}*i A�°DAMAGE�1tu1�CH*':MAY BI"IN'dii-M tD'OUE"M THE
DISC.ONN iaN OF CAl_POW Ui TW.VMW*QF VIOLM-- ON OFTl�AGR�ML�93.
ONlNER SI
DA`i'E
. i�N�R�ICfG DATE
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