HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE'• i
SCANNED.
BY
2 `fi�i'd A A �o
'�'i�'r,��i�'ce; •fit. ��
T722 4t6�� axi' 7"72441�2W5443
ttL'S�''�►!'"�`�����`�(F117�:Q�I�d`!"j0' �E?1�>r'��'�
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A. PERIOD NOT'TO SCEED'THIRTY (.30-DAYS, FOR THE PURPOSE dFTESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOP, A FINg.INSPEOTON. IN C OBWDtRATION OF APPROVAL OF THE
REQU a WE'Hl Y XWOMEbM ANb hdREE AS F MOWS:
I. ThIs f ra . pow W#m is fequested for th� absVe seed P4ose only, and Dare wifi be no
Occupancy of any type, other than that perrniiUed by .Gorisk utbon during this tirne period.
2. As wttn<i=ss by our signatures, via h.epoby pq* tb aT?)de by MI urns and ca>ldiffons of ttfls agraainerit,
lnd0c0hp Building Division ,Policy, which is incorporated hdrein fay reference.
3. AJI conditions: sand *uirerr nts- listed' In the attached document entrded "'Requirements for 30 day
Power for�Tes oll F9m,b�n fui�lled and the prormloe is ready for compliar(de inspection.
4. All reques% for an 80�anslon beyond 30 days mua b.*�.: made In wnift to the Building Official stating
the reason fbr the request. Power maybe reftvedl from the site anO/br ,a -Stop iiyoric Order issued if
the Filafinsp&-fi6n has not fieen approved within 36'days. A fee of $100.00 will be regWrad tO lift
the Stop Work Order.
WE HEX -BY RELEASE -AND AGREE 70 HpLD HARMi�S, S7: LUCIE COUNTY, AND THF1R EMPLOYEES FROM
ALL U40II,,MES AND C AIMS.0P ANY TYEPE: 0F..NA- T.UIjE WMCH MAY APISE NQ'W' OR IN THE FiMM OUT
Ol" t S'I7 AIV5�icnoN. INGLUf 31i.C�.�� AfNY 17�4MA V��CI� :MAY sE ila1Cllf�l�Ea. �?vE 7Q THE
I99IS66il'i 6f tON ov ELECI•ftIOfAL POyii'ER EiTHE MIENT OF WOLKWN OF M ITS AGREEM
MAT:C
£9ti-J 9000/9000d 989-1 999L8L8ZLL -W08J L9: L L 8 L ,- LO- L L