HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASESCANNED
BY
ST LUC1 �� i li\i-emu
D*ace r meat �
e e d r fic "Dni $Mn
i RECEWED
FaX' 772-: 461-
Permitting Department
St. Lucie county
Regb gtfo>r •30- %'T*O+lliiy Pd!wer iWiease
Date.Permit_ioi#er.
��� Adtlr ��• G�C�`�
THE UNDE_-R5[GYNED HEREBY REQUEST RELEASE OF: ELECTRICAL PONDER TQ THE ABODE DESCpIBED
LpIOPEQ 0'IR �QU HEY A1iOEQE AND A ASLiS:
I. Th slemlV= Y"power TOM is MMBMd fOr the above stabad purpm. only, and thffe will tie.00
oaapanty of any w6, prier ttt n that 0.4miitiad by .toizsfrucdon dUrirlg this time period.
2. A$ witness by our signatures, Wa 1400y ague tp abide by all teh'ns a9d conditions of tffis agreement,
*10clit Bullding Division Policy, which is in4orpoeated hevein by reference,
3. AM conditiiom. and *uirem nts fisted' in tiie 4Ma hed document enti#8d "RequirerrtenL For 30 Day
Polder for'MA- igp hiave*been ful€iged .ate the prernlse is ready for compftan'ce inspecijon,
4. All rec fuest5 for an extension beyond,m 30 daysu.St b�'rnade in writing to the. striding b fidal staitng
the reason for the rq' ua -PoWer maybe rerpoved:Trom the Or- and1br ar stop 111/.ork order issued if
Vie F1nal*'Inspdct1dn has riot l aerr approved within 30 *days. A fee of $7aor0o will be McIbired to iiit
the St OP Wain Order.
WE MEW RELEASE•AND AGUE YQ HOLD HARMLESS, S . LUCiE COUNTY, AND THEIR EMPLOOYEEs FROM
ALL L.•MILMES AWP CWMS - OF ANY TYPE OF NATURE WMCH MAY ARJSE NOW OR IN THE FUTUReE ouT
OF T11M TRANSACTION, INCLUDIN(ANY DAMAGE WH ' —1-MAY SE ICS1C;1 D. R..UE• TO THIw
DISWNNEC " N O0 ELECTM i E.a I-M-THE EVEW OF VIOLATION OF I'M AGREEMENT.
LS�
DATE
M-� WWZOOOd 98L-1 999L8L8ZLL -WO8A LO=ZL K, OZ-LL