HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPMed Address:
ScANNED
BY
St Lucie County
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P iaw "'Mv.et4fpWeh pvc-ep
RECEIVED
T.&A, Diva ion
OCT 2.2 7010
7
.jOlerc% Pt
Permitting armenI
St. Lucie County
171461-l'. WS PDX 77 24462-6141 4' 3
Reqdekf,be.30-;bb-V:T.e* ai a r'PdWergauge
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Periwft'R4mbej-. \")., —
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
'P
AND
X,E
1- This tmPmrV Power relftse Is Mquasltd for U.-bove stated purpose only, and there va tie no
occoancy of aW tjP6, oftr than tliat perrWitbad by tohstnr on during this time period.
2- As witness by Our siaMWeW, we. MOW ag I -me th abide by 41 bEfts and conditions of this agreMent
inckidift Building Dlvlslon,Pbllcy, which is incorporated h. e*veln ljy reference.
3. All condit-lons,'and requirements, 0d in the ottkhed document enNed "Requireflients -for 30 Day
Power _h0r'T0Mfig7Nve'bP_6n fullted'4fid, the premise is ready for comp]limce inspection.
4- All requests for are, extension beyond 3o days must be -made in wrift tD.ft, suilding Official stating r0akorf fOr ft re qtf%� PqWer fllajbe rpriia"d-'frdirn the sit-- and/or ar Slap Work• Order issued if
thp rihal:lnipec do hat not beenapproved within 36'day.s. Afei 6f.410100 VdIll be M4uired to lift
the Shop Work Order. -
WE HMSY RELEASE -AND AGREE. TO HOLD HARMLE$S, �T,. LuCIE oDuNTy; AND THEM EMpLoyEES FROM
ALL• LDZUXaES AND.;CLAIMS -OF ANY TYPE. WHICH MAY ARISE NOW OR IN THE RMM OUT
-� OF 7�TRANSACTION,.INCLUQM� ANY 'U*6S -,MAY ED00E TO THE
WHICH ' , 13E INCUM
DSM,NNEMON -OF MECTRM p&� Ni, -64F EVER O'r- V10. L-All-ON OF 7HLS AGMEMEINIT,
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