HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEBY
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Requestfot-30-fty
Date- )2�
Prqed Address;
THE UNDERSIGNED HEREBY REQUEST RELEASE OF EL
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY(.
AND EQUIPMENT IN PREPARATION FOR A -FINAL INSPI
REQ1JF5T WE' MEREBY AC K.-NOWLEME AND AGkEE-M
I - This temporary power MOM is requested for the
occupancy of any tYp�, O#iar than that permitted 1
2. AS
withess by our sigj3atu s, We het-Lby agree to i
Includitig Building Division -PblicY, which is incorpor
3. All conditions and requirements listed in the aukh
Power for Testing" have been'fUlfifW'and the prep
4. All requests for art tension Myppd 30 days must
the reason for the request. PoWer may be. remove,
the Final ln$PecE on has not tie6n'approved within:
the Stop work Order.
WE HEREBY RELEASE AND AGREE. TO HOLD HARMLPS,
ALL LIABILMES AND CLAIMS OF. ANY TYPE OF NATURE A
OFTHIS.TPANSACTION, INCLUDING ANY'
DAMAGE'W-N.1C
DISCOMMMON OF ELCMCAL Pow[-R IN THE' rzVENT
vNER SIGN
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Fax 772-462-44143
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rRICAL POWER TO THE ABOVE DESCRIBED
PAYS, FOR THE PURPOSE OF` 1 ES' NG SYSTEMS
TON. IN CONSIDERATION OF APPROVAL OF THE
Ove MM purposia only, and them wifl be no
construction during this time perl6d.
de by all thrms and conditions of this agreement,
.xl hdrelh by refererim,
document entitled pRequirerrients for 30 Day
e is ready fbr'complianc6 inspection.
! made in wriWig to the Building official stating
ibm the site andfbr a Stop Work, Order issued if
'days, A fee of $100-00, will be required to lift
'. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ITCH MAY ARISE NOW OR IN THE FUTURE OUT
MAY BE INCURRED DUE TO THE
FMOLA170N OFTHIS AGREWENT.
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DATE
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