HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASESCANNE.
BY
,-3t ! ude County
. . . . . . . . . . .
Date: - �; 1-4- � '.
Planning &.D ' '�q A eve , p me VICO epar
Building : & Cade Regulations Divisi n
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R
SC,,
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VE
D
Ff Pierce,
FL'4111
Phone.772-46165 SEP 2 701Fax: §7Lucie
Oeqtvst foe 30-Day TphpdrafyPolder Release
Caunty, Pern[tt1,,
P,orinit Number:. Rb,)
Project. Addkcss.- 51- 6 r) -Sp r, it, 4e iveTZr+
TM- UNDERSIGNED HEREBY REQUEST RELEASE tAS19OFELECTRIICALPO R.TOTHE
ABOVE DESCRIBED PROPERTFORA PERIOD -N-O.T-TO,EXCF7ED-THIRT—.(3,O)DAYS, FOR
'-IQ T, PREPARATION FO
THE PURPOSE OF TESUNGSys, S AND tQ IPMENT N' R FINAL
LN, . PE C'ft6!4�'&!CQN,$WERATION-OF OF AWIlk HEREBY
S APPROVAL 0 $T NVE
ACKN6NN&t:'DJdkAND AGREE ASTOLLOWS:
L TfiisAemporary power release Js,-r,0qtf4kste.d for the above Stated I
,of dny,type ,.other ,th9uAbat permlq��d by-eqnst ructionduring I -th
Wltn V' . -, A bvIf ter
�, y-k
`:
Building DDivisionpoliey,:,.M6; is incorporated' fierrr 'yr6We
1
All conditiopsand rquiieTettts listed In, the,attacked,46cudieni,
4 Testhig�l have been Wrifled `and the premise is ready f6rxomplt
5. Aij.�'eq . 4ests'fir a nle)ttehsion. 4eyogd, Xdays must b i e made i a w
foe the request. Power may be-,,,rpmoyed from 6e':siteaW/6,f a,!
as, ot-been: sapproved w6hih Xd#i. A:fee`of $101W.*3411, 46
and thii.e4ill be 6o4mupaOy
qreeifieot; including,
tied -"Requirements, f, q Power for
d I
Work'OrdHssuWI r the FfnalluspectiQ6
ired to Ii - ft'the gtop.,Work,6rder.
HARNJLESS�7 LU
*1 1 '' CU CO TINTY
WE HEREBY RELEASEANI) AGREE TO: HOLD ST - - -,L1
- " ' LiAlBIL, ANY TYPE,OF -NNkTURE
THEIR, EMPLOYEES ITIIES ANIDCLAIWOF
TFURt OUTOFT 1. TRANT: THE FU H.g SACTION CINCLUUNG.
W111C. H MAY ARISE NOW, OR IN - . ,,, , 11
.. — I i. � TIO..T.O.,
j! MAY BE -INCURRED DUE TO THEMSC INTNK 4S - F
ANNYDAMAGE 'RICH.
'F.VI.OLATIONIOFTHTS,AGRED�MENTT.
. . / :r,-3 — "', e"e 2
SLCP16SID Revised 64!1412610