HomeMy WebLinkAbout30 Day Temporary Power Release7-72-4 6*2;-
SOW-Wees
!A Ave'
63 FaX-772-4612-4,4143'
R,eqjj4j'for 3-'G_'-b�y`tdr�t�:ai4a' �Power !Wtease
Date: Pernfl . t -WUmber.
Proled Address, �_O
IllicErvrED
JUN 18 7018
Permitting Department
St. Lucie County
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTpjCAL TO THE ABOVE DESCUSED
USED
.
PROPERTY, FOR A. PERIOD MOTTO EXCEE D- THIRTY (30) - ]?A-YSI FO R THE PUWOSE Or -"TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FIKALJNSRidUON. IN CONSWERATION OF APPROVAL OF THE
}QUESTft-H,BZMYACKN0WLEDCE AND AGREE -AS FdLLOWS:
I. lbis t8mP=rY Power r!g" Is r`ieQueged for the above stated purpose, only, and them wllljbe no
=VancY Of any typ6, 90er thah that parmitted by.botistrucdon during this time period.
2. At witness by our slonatules, We herd* agme to abide by'all terms and conditions of this agreernerk.
inr)pwrig Building Division Policy, which is incorporated herein by reference,
3. All conditio m.. and requlr--emdnts 4s.tad in the attached document ent-ided'LRequimments for 36 Day
Power for Testing" ?'oe"been'flUffflied-afid the Orernise is ready for complianceinspecUon.
.
4- Al *torts foran' extension bWRnd 30 days -muA. be';rnadi in writing to the 1301ding'Official -stating
.the reason: for the *.uest Power may bd rernoved'h , -drn the site and/or a Stop Work,'Orderlssued if
the Finaflnspedton has not 4een approved WjbWn 30 days. Afee of$100.00vwllbereqigrL-dtDra
the Stop Work Order.
WE HMEBY RELEASE AND AGFWE TO HOLD HARMLESS, ST, LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL IJASILITIES AND CWMS -OF ANY TYPE'iDF'NATUR'E WIJICH MAY ARISE NOW OR IN THE FUTtJM OUT
OFTHIS.TRA.NSAC170N,'INCLUDN'�'AN.YDA'MAi�5E:WHICH--.-M* AYBeU.R'R.'ED DUE TOTHE
Diso&h . NE=N OF ax=ck Pbwtk 0F.Tlq5 AGREEMENT.
.UWVWt_-K blQiM WKI: DATE
RE DAM
kA\A\x
ELE=CAL CONTRACTOR SIGNATURE DATE
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