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• Fort ple lbe�FL 34982 '
JUL 03 2010
7;72�4 2� 16'5' :Pad 772-46Z�6,443: Permitting Department
St.-L cie County
Request`foi 30 Qay 1'emr �r Power'Release
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Date.
projecta:Address: Will �i ��
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THE UN HEREBY REQUEST`REIaE OF LECTRICAL'PQ�N�ER�T�W!t* BO DkE$CRIED
PRppLaTY, FQR A PERIOD IVOT TO EXGEED�THI(TY(30t) DAYS,FOR THE FURPO5lr OF CESTINSYSTEMS
AN EQUIPMENT IN PREf?ARATONEOAiNALxINSPEG'TidiV INGONSIDER�ITIQN'OF APFROI/AL bF TiiE
REQUE51"'VIIE HERBY AGKI�O 1J/LEDGFAI�DAGREAFOL101 �, k sr
1.. This t7 `ilk
emporary poW --_- ease isxequested i?or XI1 6o ieistatgd�purpos on 11 e andn ere w71 be no
oceupaaty of anyntype othertan dt ,eltked�bYxcgstrp*ctonr��dtirinihis�tarhe penodr A =
2 Asw�triess by oUr�sigr�atur�s,we��ebb+ gr , bl e brym ll,er ri;s and co 'c lt@,W,of this agreement,
�nclbding Building Dv�slori Pglc�i' v��ti�t(s i corpbated erei` yrefere�itce� x r ` g
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3, All codit[onsand�rquirerpeFiCs listed in the�aah�ddactimenttlea �RegremntsQr 30+pay.
Power for Testirgt hive been fuieantltiir#enisesisFread =i"ormCorrih�ahc�'Is�ecton a ��r "^
4, AEI requests fQr i1"{exens�on�eyo d0� yeti'stie' de in�rfingothe auitlmg Official stating ` t
the Reason for the request P�lnrer hay be Teri 0 at afro 'th`b sits andjbrC�`Stop 1�!/0� rde Sue i
P PP nR d sir�°feo` OO�nU wi bere wiredtO I�ft
the Final Ins ecti�ni�ias not°b erE a roved wi $ * €r `
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the Stop Work Order 13 w kr R, I �,�. r „Y .
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WE HEREBY R)TLEA:SE BAND AGREE TCJi HOLD�H�ARMLE.SS, T �UG�IMUN17 RAND THP EMPLbYEESaFROtNJ .
ALL LIABILITIES,AND C( IS OF ANY>TYAi:0( NATR En
iNi1ICl� I�AAiASNON( 2N,TFE Fl1TL1RE OUY
OF.1'HIS'CRai�3 iMft_TI C UD�NG ANIC DANiAC�F� HTC i,I A 00,I CUf RED�DUEYTO q tiE
DISCO[VNECTION,OFE!£CTRrIC;AL-P0a14�ER IN��TH��I�I�T O�VIp1A�i70N bF� HIfi
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