HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASESCANNED
BY
Olt Lucie County
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Date., Per-mkN4lmbeA%1\2
kqed Addrers:
THE UNDEMGNED MEREBY REQUEST RELErASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPER-fY, FOR A, PM, OD NOT-10. EX-CEEQ'7HIKTY (30) -DAYS, FOR THE PuOosE or-,TES`t*G SYMMS
AND 'Eq 60MENT IN PREPARATION 'FOR. A RN-AL..INSPEC.TTON. IN CONSMERA-RON OF APPROVAL OF THE
REWE$T WF.- HfftEBY AWOWLEME AND A AS FOLLOWS'
I. Wig tffrWrary Pow Wdam Is r9QUM ' d for to 00V� OW purposg oft and thWe mll be rite
OcCupancy of any type, other than that Periffitted bY bbhsOuctlon duriAg this time peridd.
2. As witness by .our sign.*00s,We, h.ibyagie 0 abide
by 61 feigns arW oodditions of this agreemeht,
InclOdft Building Divigion Ablicy, to is indorporated henieln by referenm.
3. All conditions;
'and *uiramtnM fts�'ln the attxhw document error "'Requirements fbr 30 Day
PoWer for'Testfig' h4ve'be6n fulfilled .ems, the: premkie is ready for complitnte inspection.
4. Ail raquest� for an e)�!:enii,dn beyo xe. Wilding Official stating
beyond 30 days r�tit be.'made in YvMhg to th the, reason
e= for ortherequost. Po"r maybe mmoved'fr6m the site. ancf/br'a- Stop -Wo*.drder issued iT
the AnallInap6c.tidn hat not Ueen -approved within 36'dayS. A %e of $100.00 will be requ'ired to lift
the SWp Work 'Order.
WE HMBY RELEASE AND AGREE TO HOLD HARMLJ5.S. ST. WCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL UAD=ES AND CLAIMS OF ANY TYPE: OF'NATU R*.E WHICH MAY ARISE NOW OR. WtHE RMW Ou'r
OF MO$ 7RANSAM; INCLUE) N -DA - AG BE ikU. TO. THE
RS63�� 00 aEC M-ICAL FbWgk'WTHE- E�EW- ',bF Wi0l."ATION OF THIS AGREEMENT.
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