HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASERV
SSGANW�).
Plakir St Lucie County
409,& Deve"
"DOrneht,* SMVices
06 V Visl6m
13 . . j-r&id Ave
Fort-pilerce
M 46�-2165 FOX772462.644,
Reques.t'fbr,36,I ` - '*Pr
'fy T Pt"Npeer RIease
Date:
...................................... ...... ;
Property Address;
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L3 A y
THE UNDERSIGNED HEREBy -REQQUE�T Jul
-3 Y 7
GTH
FOR A PERIOD NOT 16 FtEBD-7j4jR.,7y T -' E'A60V
FOR INSpeL7—.10 P* PRQPtR*Yj,
IN PREPARATION FOR !'$0) DAYSTOR144E. P0R#d4E101:,TS1nNG, %C11109"
ACKNOWLEGE AND AGREE )Wm' SYSTEM$ AND.,ZoUjOME:
AS FOLLOW& N$,DEMTlot�,40'APPROVALOF-TiiE.RtoLjttT.'- - � II
WE HEREBY
_rll's temporary POWOr releases: f0rthft.,ab0ve..g,1tePUP ose Onvi,and there will 4.e tjo
2. As witness by our S1 . pe, other,tho
FIN gllifturet, :4:'�onstruttlon during this t , lh%oerw�
including suild1h... Ysion P,,We'WL4��38.ree a,4Ide1,b.y;jjt t.or.rn
1cK W , s aild conditions of this, ag're4,1b
S. All conditions and. requirel"
ecl and the Orpm 30,04Y read for menu
•
A. Al! requests for an e, 1� th' Stf,"hed"P`�uMe0'ehtitlecl "R-equiremen-kis for
Power for Testine, hBv6-been'7FuIfj '
or th-e tensilori'be—Y010 0YS-,:mUs*.bP_,,.m&d 7 insl)gctlon.
the reason 0d
r6OURst, Power. M , c{at-stating
the Final Inspection has.not b.eet�,., be`r0n`*�1.0."r6h1,th site and/or a.Stop-
apkove . .
StOP Work Order. '30fd
4s' A fea of
t'-100 will be reqUired i0i lift -tftq.w"'
WE HEREBY RELEASE AND AGREE- TO,
FI
LIABILITIES AND CLAIMS' HAR!K4L8$$,
OF Ahy'TypE:0,p.:Iq,-T L0t1E'C(jUN7XAN THEIWEM
TRANSACTION, INCLUDING U MAY ARTS .ALL
ANY aAMA,(5E E:�40WOR IN THE FUTkJRE:OUT -OP THIS
ELECTRICAL POWER. INC , REED
MAY:
TO EN,.T
4 U DUE T.0 THE OIS
VIOLA
iQF THISAGREEME-NT.. ..CQNN8CT ION
OWNER SIGN
DATE
GENERAL oNTRACTOA S 1 .6
A8
14 0
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