HomeMy WebLinkAbouttemp powerSTLUCK
COUNTY
F 1 0 A 1 0 A'
Planning 8t Development Services
Building 8i Cone Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Permit Number; _..r? d6 _ a 2 1
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-v'VE� y:d:i 8t REQUEST RELEASE Or ELECTRICaAL POWER TO Tt�E ABOVE D"cSCMED
P;� rzA—Y. cO; 4 PE;I00 NOT TO EXCCED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING 5 STEM 5
EQ ITPMEN_- IN PREPA.kATION FOR A F[NAL INSPEMON. IN C:0"aSIDEPATION OF APPROVAL OF ThF
�` : =�` t', HF�=EY :,C�tic�tiVL.ECGE ANL7 AGREE AS FOLLOWS'
:eri 'a-ti Wr,*fr roierse ra regr!'-s-,ted to, the above stated PwPase or::y, and ther3 ►e, I De nU
;,` an, type, other than Chat persnr:ted by rorLsrruction Glaring this time Pere-Z
:•i:r�" ttYr oL' s,:3naru'cc, h'e tteret)� agree to abide by all terms and conditions of th,; a;re?rrient,
SuAd ng Dmsjon Policy, which Is inr:orporated herein► b'r reference.
t, ors anC fcguiremen s listen in the attarFted doLurrlent entit!ed-RegJuement5 fw, 3 far
;3.je- or f5trnc:' have becn fulfilled 2:,d the piertirse is ready for comphaace 1.ngw-awon
c;, for a-, e:tensron bevrrv3 30 days must be made in vorhng to the Budding Offictel sra,
(►f- r:/ th? renue:t FvAer Tray tfe removed front the site s?nd.!07 a 5t,-V ViOrk Ordt l rsi:jec r:
+*rr F f,.zs ir5peCt,o'r has no., bE2f, approved w-thin 30 days. A fee of $100 00 will be reQ,j,:,e: ,a !•f
.'e Stop ►' X: 01de,
PE'EASE AND AGREE TO HOLD HARMLESS, ST LUCIE CCIUNPr, A10 THEIR EM"XYEES r;J4
AND ' LAIM5 OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE t;iT;RE nJT
fj- '-ii: "FL'.5krT3C'N, PiCLUDING A y DAMAGE WHICH MAY BE INCURRED OUE TO THE
OF ELECTRICAL POWER IN THE EVENT OF VIOLATION L-)F THIS AGRE64EIY'
GEt.:;,AL C()!JPJ,l:T )P SIC,!JA
ELECTRICAL Cor3TRAC7Uk 51 NA
_22-17-
DATE
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DATE
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