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ATLU4CJ'E Building & Code Regulation Division
�COUNTY 2300 VirgiAa Ave
• A Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day TemNoraly Power Release
Permit Number: ---- 1;? �3 z
7,. 9 49-9
HERE8V REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOW D_SCRI3EU
P;,' ==ham', `Oh t. PE;100 NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
IN PREPAkATION FOR A FINAL INSPEMON. IN COI`aSID=P.ATION ('= APPi-(r)'JAL Oi- TEiF
fiE =E' VE HE;-6Y ACt(NOWLECGE AND AGREE AS FOLLOWS:
-*�is terhl'a-� raieas_ i; iecloested fo: the above stated purpose or:!y, and thEre ►o i De no
an; We, other than that perrniZted by r_0 sttuctr9-� d�rnng thi; time pc�+rrc!
ti UY oL' signah,res, •r.-e hereby agree to abide by all term; and conditions of rn,i a;re?ment,
:.�;, nz 5,Ad-nq Olms,on Poitcy, which is incorporated herein b i reference.
G; �.c'07t ors ant, iequsremens listed in the attached document entitled "Regiiremcnts fu, 3', la,
;cede- `or-est+n`" havz been fulfilled and the prenus: is ready for compliance rnspe-ctw'n
ci. •ea est for an e:tens+an beyrrvJ 30 days must be made in mitrng to the Building Offio'e; sta_ 1-_
[Fie rtcS(-Jr f:R tM: fPGue=t Power ir-ay Ce removed from tl'C site 1nd!o: a Stop ;&)rk Ord-_i rssLj; i
n
tF 't8l Irspect o,, has nut Lear, approved w-thin 30 days- A fee of $100 00 will be re3�� 'e' Cc f r'
"e Stop V.x1, Or de!
PELEASE AND AGREE TO HOLD HARMLESS, ST LUCIE COUNTr, A10 THEIR EMC%.0,iEES FR34
_i L?/--E'JT'. c AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE c,iT;rRE 0- JT
U= �-ii- iSAM- ON, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMDr.
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GE'•4crhl CO!,'TPA(:rT jN SIGNATURE
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ELECTRICAL. COUTPACTUi, SISNATURE ()Aff