HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE08-22-' 18 10:31 FROM -
7728787656 _ T-347 P0001 /0001 F-937
BY
St Lucie County
Plug
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Ziir ' %�'�►e AUG .Z l 201®647
Date; 4 Pernfit NOMber:
PeaA4dms. "emu .r.r.s�,�v�.....
THE UNDERSIGNED HEREBY REQUEST RELEASE OF: ELEC RICAL GONER -ro 1-mE .ABODE DES"ED
j
ERTY, .FF�U:IpEST �i~• I•i� A��Cf1f{�'l�.E� �1�i1D AGit� A5 Ft31,��5:
I. Thin Wnpemw power reldm is .roues for #ie above wed purpoie oMy, and there wM �e nb
obamney of any , gTher than Ura permitted by bonbon during this time period.
2. A► witness by, our sOnaWw, we. hereby agree t h abide by ofl W= and -conclitlons of this agreement,
including Building Divieldrx ,Policy, which is incorporated h6rt In ay reference.
3.ii cond{tlons:and raqulremriCSlisted in'ttie attached dvcvmerit entitled Ritequirerrter►t4for 3r) Day
Poorer for Testirig" hoax e'been'fulflied'ancl• the' premise is ready for comp4nte inspect ion.
4. All reMMAZ for an• Wn En ion beyond 30'dM mist be:made in w4fir g to the Btt(fding'.official sbjiing
the r eaasan for the r est, iPO"r may be removed` from the site. andlvr ,a Stop -woric Order issued IT
the FMaftnsPeMon has riot Been approved within 30"4ars. A fee of $100pp wiil be required to nft
the Stop Work Order.
WE HEREBY RE E ANQ AGREE TO HOLD HARMLES
S, ST LUCIE COUNTY, AND THEIR EMPLOYEES FRom
ALL LI ►BiLTPtFS AND4LAIMS OF ANY TYPE .E)F NATU Ii iCH NIi4Y ARISE NOW OR IN TIME FUTURE OUT
05 1134 S TRANSACTION, INCC.t;It G ANY DMAGEWMICH-41AY K MCUE ED OUE TO THE
DISCONNECMN MZCM, T 1L PbVVEk *-THE EVENS br--V.I-0=ON OF TfiM AOaM
DATE
DATE