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HomeMy WebLinkAboutrequest for power 30 day office form yC / f Important: The occupant of the property (or other appropriate party) shall have made proper application to the electric utility, paid any applicable fees or deposits, and requested power in a timely and informed manner. St Lucie County is not responsible for any delays in the receipt of electric power. We acknowledge and accept the terms of this permission. We further acknowledge that violation of this agreement or a finding of unsafe conditions and/or practices found on the site may result in immediate disconnection of this temporary power without warning and hereby release St Lucie County and all representatives of any and all liability resulting from us not abiding with this agreement. METRO ELECTRIC SERVICE INC. Print Name-Electrical Contractor Company Name / 21/ Wes/ 04 /29 /2021 Si �Electricalontractor ate Signature-Owner Date SA VICTOR ORTEGA Print Name-Electrical Contractor Print Name-Owner (786 ) 512 _ 4484 Phone Number-Electrical Contractor Phone Number-Owner SC-31649 EC-13002723 License#Electrical Contractor 04/27/2021 ARTAR CONSTRUCTION LLC Signature I Prime Contractor Date Print Name-Prime Contractor Company Name ARMANDO REYES TOLEDO (786)344-3855 Print Name-Prime Contractor Phone Number-Prime Contractor SC-31143 CGC-1527445 RECEIVED License#Prime Contractor Approved for the City of St.Lucie County by: DEC 0 2 2021 St.Lucie County Permitting Signature-Electrical Inspector Date Inspector comments,limitations and restrictions: Rev.0713012020 '