HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEBY
1-7246.2--
014
TOM
P-04062
6 fax '772
5 -462-6443
ftqu:f,bt3ff-Wy:T.e* idiy'PdWerRdeate
�►: \ �5e� PeryWit wf,,,b,.
Pect Aid rem 0,
THE UNDERSIGNED HERESY REQUEST RELEASE OF ELECTRICAL POWER To THE ASov.E DF_ - 5C.RIBED
PROPERTY, FOR A PEMOD NOT'To EXCFED THIRTY(giO) - PAYS, FOR THE P - RPOSE Or-' *TEmG Symms AND SQUIPMEW IN PREPARMON FOP, A NNAL INSOK&MN. IN CONSADERATION OF APPROVAL OF THE
REQUEST MHUMY ACKWWLEDGE MD AGa AS RILOWS:
I- This• tmWMY 'Pow religM is ireqmW lbr the above labad
PuVe only, andftbe no
c±L nLy of any type, that e'*tad icy ormcjon curing this time period.
2. At witness by, cur %p�' , We 0 heF4by.:a 'e
in grg� abide by 911 f�dns and coriditions of this agreemerit,
,dilditig Building DWoriftlicy, which is Indorporaited herdn by r.efemnm
I MI corxWons.aryd taquireril" 116W- in UIL' atti . 01 W aOc-ument entRIM "R uiremfflM- for 30 Day
Power for 7bftgl l -be4in fulfilled and th!E� prpmfte is ready for compliance inspection.
4. All racjuesW for an' eVmniribn beyopd 30 . days.must bp,'rnade in wrillog tD.thL. ELfilding -.6Mcjal stating
the M� rWot. Powe-may 'be MmoVed"from the sFte-
. ad fpr theand/or a- Stop Work. Order issued if
%hq Final lnsp6Wdh has not tfe� approved within 36"dayS. A fee 6f $100.00 will be reqjjlred to lift
ff'16 -%p Work Order. -
WE KM3Y RELEASE -AND AGREE. 1-0 HOLD HARmaSs, sm LUCM BOUNTY, AND THErp , EMpLoyEES FROM
ALL. LAW= ANDCLAIMS -OF ANY TY'P'E..0F`JYATU;XEWdH MAY ARSE NOWWOR Eq THE FLMJRE OUT
OFT -MTRANSACTIOWINCWDWGAY'DA E
WHCR-MAY
BE WURMDIOOE TO THEi 0aECRIC4L
Po t VTT HE EVENT OF VMLATIOOF THIS AGAtEMM
ti99-j 9000/z000d 608-1 999L8L8ZLL _Wod� 8 L: t L 8 L 1-90-Z L