HomeMy WebLinkAboutREQUEST FOR 30 DAY FOR POWER 03-07-'22 12:54 FROM- Wynne Building Corp. 7728780224 T-862- P0002/0005 F-624
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Reo�f*.30-D'ay TefilpmratryPower Release
Date;�\� Pel'miz,Nurraber:
Project Address: �A
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE AE VE DESCRIBED
PROPERTY, FOR.A PE[t,IOD NOT TO EXCEED THIRTY(30)-DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN'PREPARATInN FOR A l•INAL.INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
WE HETEBY ACKNO'I LEDGE ARID AGREE AS FoLLC ws-
1. This Temporary power rekm is requested for the move stated purpose only,and there vAH be no
occupancy of any type, other than that gemiiti�d'by oonsiructfon during this time period.
2. 'as.witness by our signatutw,we hereby agree tb abide by all terms and conditions of this agreement,
Including Building Division Policy,which is indorporated herein by refierenoe.
3. All conditions and r�ufrements fisted In the attached document entitled"Requirem"for 30 Day
Power for Testing"have'been'fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be..madee in writing to the.Building',Of lal stating
the reason for the request. Power maybe removed from.the site and/or a Sbop Work Order Issued if
the Final'Inspscbon has not been approved 'Within 30 days. A fee of$100.00 tnnll be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS;S-,.--LUQE 600NTY_AND THEIR EMPLOYEES_FROM---
ALL LIABILMES AND-.CLAIMS OF ANY TYPE-OF NATUn 1A!'N'ICF! kAY ARISE"NOW OR IN THE FUTURE OUT
OF THIS TRANSACTIQN,INCLUDING AiYY DAM/�CE'11Ul�IEH MAY BE INCURRED DUE TO THE
DIS{'OMEC17ON OF ELEC'MCAL BOWER IN THE EVEN'OF VI0.1 AnON OF THIS AGRaK34T
OWWA SIGNA"RJ DATE
CONT#iAGT'OR DATE .
ELECMCAL CONTRACTOR SIGNATURE DATE
. AECE�D
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