HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEC Ve *1 ...... ft v ap men,
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Reqtieftlbr -30-0ay-Tla�Paver `Rd
Permit Nt2imber-.
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. RECEIVED.
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ST. Lucie County, Permitting
THE UNDEMGNED HEREBY REQUEST RELEASE OF ELE=CAL POWER To THE= A]30V.E DESCRIBED
PROPERTY, FOR A. PER100 NOT TO EX. CZEED "11iIRTY,(3 0) - DAYS, S, FOld THE P VVOS1 OF TES71NG SYMMS
AND 'EQUIPMENT IN PREPARATION FOR A.FIkAL.IN' PECTION. IN CONSIDERATION OF APPROVAL OF THE
AEQU EST WE - H B:d W ACI�IqOWLED � E AN b" A G'FT:E S FOLLOWS:
I- 7h[S teMP=rY Power r0ease Is re.yiestedibrheabo4eSatedpuWse only, and there wM be no
oi:tupanty of any type, gther than that P-e*rM'jtb'd by.boftSOucd'onduring this limo- period. .
2. M witnessby our signatures, Wq heTaby agr;e4_ tb aoiqe by all V2fts and conditions of this agreemerit,
indadifig BUilding DhAaonftficy, which is indorpOrated her&n by reference.
3.. All conditions.and tequireri L:pts. fistNf in the atta &.. ed document ent-MdORequiremmts. for 30 Day
PoWer'for'Tesffng,'hc)ve-bP-en'fulfilled'6nd the premige is ready for comprjaa(�e inspection.
4. A JI r.eqtfestZ for ari od'en§lon beyond 30 days must be' made in wrMizg to ire l3tillffing pfricial stating
the reason for the request. POwer maybe removed'from the site and/or a- Stop ' '
-Work. Order Issued IT
the rinal-InspecUdn hat riot Been approved within 3bdays. AfL;,6 of $100.00 Will 66 required to lift
the Stop Work Order.
WE HERESY RELF.A$E AND AGREE TO HOLD HARMLESS, ST, LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LjABH,=S ANP.CLAIMS -OF ANY TYPE. dr"NATURE VVKCH MAY AMENOW ORINTHE RnUTOUT
OF THIS TRANSAMON, INCLUDING ANY D�NA8E -W1qk-R---'kAY QE 1WURRED. 'DUE TO THE
Disc6mkftohop akcmcAL PowER.IN'THE, 6EW- '& WOLATION OPTHIS AGREEMff4T.
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