HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASER- eq-, , 4" e'-r',, r
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RECEIVED
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Permitting LucgiL DePOrtment
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THE UNDERSIGNED HEREBY REQUEST RELEA915 OF ELECTRICAL POWER TO THE ABOVE DESMBED
PROPERTY, FOR A. PERIOD NOT -TQ EXCEEDTHIRTY (30) -DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQWMENTYid. PREPARikII0,NFOR.A.FIN,..ALINSPECrION. IN CONSM811-ATIUN OF APPROVAL OP THE
iMQU#.trWE- HERMVA111Q1�lii.EDEANDA'd:R�'AS'' OOLLOWS:
3. iris tell pnry power rd6ase is -requd fbr the tbova-Mted pw 0 , tter� W be
pm My and M no
occupancy of any tp -1�r tonperiod.
a than that pdmiitted.
Onxton during timL
2. AS, Wb-im our sigrpWwe. herebyagreeP abide by all t�ftmid coridlti oris .of ths agreement,Includkb Building Division
Pblicy, which JsJndd m-OaWtf ha&lh by reference.
3. All c6n&orjs.-.and reWIM6tS IlSted in -the-aft&td doc=ent tntffled "Requftments for 30: Day
PoWer'for Testing' he-Ne"been, fulfilled and the Oreml�e is TeWy for compliance inspection.
4- All request' for An extension beyond 30 days tpyst &i;made- in wring to the. Suildi . nq Offidal stating
the iM0t! fbrtbe re.q4eL PoWer may. be'rerhWWfrom. th6 slip- -ancildr a Stop Work. Order issued Jf
the FlnaflnspecUon has'nidt been OpproVed wilh 30rdaW.. A fee of $100.0- will be requited to Ift
the Stdp W6rk Order.
WE HERE' RELEASE AND AGREE TO HOLD HARMLESS - St LUCIE COUNTY, AND THEIR EMPLOYEES. FROM
ALL LTA0111TIES.AND -CLAIMS-OF ANY TYPE OKATUREWHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THT$ TRANS'A=Ok IN4UJXNG-ANY- 1yAP4AGE-'-VMC14-'k-AY BE INWR-'RED TO, tHE
DISCONi4k� OF ELECMCAL POWER IN THSMN . T OF VIMMON OF THIS AGREEMMT.
DATE
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DATE
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