HomeMy WebLinkAboutRequest for 30- day temp power realease08-03-'21 14:49 FROM-
7728787656
T-298
P0001/0002 F-978
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772462-21465
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intivision
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Peqq&.ft-fbr. 30 Da. Tempomr Y p0m
'Date: PemAt Number.
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTIUCAL POWER! O THE. ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED -THIRTY(30) -DAYS, FOR THE PURPOSE OF TES11NG'SYSTEMS
AND EQUIPMENT IN PREPARATION FOR-AFDOLINSPECTION. IN CONSIDERATION OF APPROVAL OF THE
PZQUEST WE HMESY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I. 71111S teffWaY Power rOease is requested for the afiove_"W purpm6only, and tbere wM be no
0=13arr-Y of arty type, other than that penitted by cohtruclJon duong this time period.
2. M witness by Our 4hoWreis, we hereby agiee W abide by all temis &W condrdons of this agreement
including Building DiVision Policy, which is incorporated herern by m*ence.
3. All conditibns:and reqWrabents listed :in the aftizhed doh meat entdbd %'Requirements. for 30 Day
T Power for estfngmbave been fulfilled'and the premise ls,:ready fbr'CDM; ianceinspecdon.
, P!
4. All request's for an extension beyond 30 days must be'mEide in writing to the Budding Official stating
the reason' for the request Power may be retneved1rom the site and/or a Stop Work Order lmued if
the Fmd'InsPection has not been approved within 30 'days. A fee of $100-00 will be required to lift
the -9np Work Order.
WE HEREBY RELEASE AND AGREE- TO HOLD, HARMLESS, ST.. W1 CIE COUNTY, AND THEIR EmpLoyms FROM
ALL LIABRXrIES AND CLAIMS OFANY TYPE .OFNATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION; INCLUDING ANY DAMAGE WHICH,* ' 'DUE TO THE
MAY 13E INCURRED
D3SMNNEC17ON OF ELECrRICAL.POWER IN THE EVENT OFWOLA17014 OFTHISAGRaMqT,
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CONTRAC17011 SIGNATURE DATE