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Requettibir Power Rmease
Dalm Perffrt Humber. Utl)
Koject Addrem
THE UNDEMGNED HEREBY REQUEST RELEASE'OF ELECTRICAL POWER TO THE'ABOVE RIB DESC
PP-PPEP,TY,FOR APM,MDN'OT'-rOgXCEtD'TkMTY.(300 -PAYSJO ' ' DESCRIBED
R TH5.PURPOSrz CiFTEVING SYSTEMS
AND 'EQUIPMENT IN -PREPARATION FOlk A EINAL. INSPECMN. IN CONSWtRAMN OF APPROVAL OF THE
R E W r: b7 WE' HERS ACK"NO�- M- Ak0 At i; t E - A S Ft i UbW S :
I- This t8WGmrY POWer regease is iftested for tht above Mted p4ose, oNy, and there Wm be A0
dcdupnL)r of any typd, 0!fier than Unt permitted by consburbon during ft time peaqd.
2. As wlthe% by Wr gqnRVes
we• he�eW:agm' 0 abide by N1 thns and -CoMfflorls of this agreemrit
InClUdfig Building PlvW16n Pollcy,- which is !n0r,'p0ratzd h&tin by rdemm
3. Al condmons.and *ulm6kqts- listed' in itHe ached doament entitlM"Reqt(wements for 30 pay
PoWer'fbr*Tjaft4,7 Dave be6nfuffilled'aind titspr;m1se is ready for c;omplibm5a ir�pecton.
4. All reqlues!,� for a' aderltibn beyoN 30 . days mist bA:ma&i in writing bD t W-tifilding Official mung
n
the region' for the reclumt. POW6 ma�*be removed-ftim the slWanofor,6-
N I - Shop Work0rder issued if
the Rhalinspecton has not been 'appr*med within 36'*day.s. Afee d'f'$IOO.GDwill bereqUiredtolift
the Shop Work Order. -
WE HERESY ULEASE.M. D AGREE, TO HOLD HAAMLE8S ST. LUCIE COUNTY, AND THEIR EMPLO YEES FROM
,ALL UADIUMS AND CWKS W ANY TY'P.E* OF'AA T-Ri WKCH mAy Af mr: NQW'OR IN THE FUTURE OUT
05 TN -TR-MSACTI0N,.1N -L - D -
C. U �.Nq ANY I H. 'MAY BE NWOP-Eb."WE TO THE
mscOmEMON Or- ELEcmcAL PO M IN -THE E'I mt OF tab=ay of im AGRr:EmT.
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