HomeMy WebLinkAbout30 DAY TEMPORARY POWER CONTROLeve,
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Date: \` r1\�Permit Nomber.
PiqectAdd vess: QM
THE UND.05IGNED HEREBY REQUEST" RELEASE OF ELECMrCAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A. PERIOD NOT -TO 9XMD -11-1 IRTY(aO) - I)AYS, FQ R THE PURPOSE OF TESMN(g SYSTEMS
AND 'EQWMENT IN PREPARATION 'FOR FA f v.I
REQUB,I�r WE-HER4�15V 1�O
�: NSPEMON. IN CONSMMATION OF APPRovAL orTHE
E AND Adk�!E A� FdLLOWS-
I. This tmPOWY -POvJW reWase is tquested for the above sated putpoje only, an.dthere 41 be ifo
occupancy of any type, 9thpr than that P'eirmiked by tons"Won Owing this bitie perldel.
Z. As witness bY .our sign res; - e r"
., Wq h F015Y Ag' tO a4fde by 411 befts a6d co�dffions of this agreement,- inclOdfig Sulk[IM4 DM!§ion,PbI1M which is lndor.parabM her&lh by reference,
3. Ali conditions'and re4uirerhepts listed in -the attached document entitled "Requirements for 30 Day
PoWer forlitififig' have been fulffied 'a'rid, the premise is ready for complign6e inspection.
4. All roqUests for an eDftwon beyond 30 days must bR,madp_ in writing bD the Building'O. a ng
MCI I stati
the replan' for the request Pottier maybe mmoved:'�d'rn the site. an0/'br*.a-!�op-Wb*.0rd0-r issued if
the Final inspection has not Mean approved within 30day.s. A fie6 6f' $100,00 Will be required to In
th6 Stop W6rk Order.
VVE HEMY RELEA$E.AND AGREE TO 14O.LD 1iARMLE% n WCE COUNTY, AND THEIR EMPLOYEES FROM
ALL I i-ABILITIES AND CLAIMS -or- ANY Typ . E-.6F'JyATU64 WHICH MAY ARISE NOW OR IN THE F=RE OUT
OF THIS TRANSA C-TIQN, INCW- DW; ANY CY 'WHiciaAAY SE !N(:fM` 1).'b.UE- TO THE
Disd6m OF k:ECMICAL'P�!N - T-HE- EVENT— bF VIOLMMN Of 17-US AGREEMENT
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