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HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEJan 3 2014 11:0719M MP LR!' � 7E7 i= ri x Page 2 SCANNED By ,ell Lucie CONIA1 P1slnuiug & D&VVIapruent Services Department Building & Code Regulations Division 231tf1 Virginia Avenue FF Pik,rce, dPL 34902 li4W 772-iGa-xt0 Paz.17a.4=92 Request for 30-D�y Temp�orsty Poweir Reiggae Dyt~t�JJ_, 11 Ptrtuft Nt�9Mbdk':.� 1—. ... �..i..L.ri� SS eject Addrm: I MA %/I lV 4W A raw,► nO ''rSE UNDERSIGNED =RKUY REQUEST i X1XASZ OF EL1ECUUCAI,POWFAt TO THE ABOVE nZ8CR1M1b PRp1a'E R`I 1`'', VOR A P.E100D NOT'ro EXCEED TIMITY (30) DAYS, frOf t THE PLIMSE OF TESTING SYSTEMS AND EQi'Li11)M91gT IN P90ARATION POR M. L INSPECTION. IN CONSWERATION OF APPROVAL 019 THU REQUEST WE HEREBY ACICNOWIADG9 AND AGAZE AS FOL1:.OWS.- 1. 7 hls WhPunry power ralno#w is rcvivsead for tho gouve stated pu peac auly, and alum wid ba Ilia ancup;Mpy urany typo, otamr tlttix ('13yt pervAittcd by c0askrrUtiatl durtdg thls'lh)jt poria& Z. Au witatse by our sletltirlUi%& we hereby ngyeew abide by nil tsrmu and conditioes (it this ahreiunvar, Including 13uu tng Dmsion Policy, which to incorParuted herein by roftr"cw ' .. All otmWitlaoe and rertul8eumentm Jiltud Yu thr attUchotl doeumsnt eUtttlad `°1Rorjt�k4= 2tY for 30 flan M4urYer Yor a. Usl ng" have neon 1rdliUad sud the prerul" is rurdy &f cawaplWaca inspectiotY, S. All rt409sts fah nn u%eopdWlan hdywdq,e days muxt be 4adr in wi "g to tldu tiuildhtt yillicittlstaGt tuo rarwoa t'or thu tevm t Power raby be removed fiVig tho situ and/or a Star Work OrcW issued It tho f+icual inupoetion has dtot boon apprarod withlq 30 dayt. A tea of Jltiii o0 will be required to lilt file Stop'Wm.1k Carder. VE f=E$Y MRA6E AMD AGREE TO HOLD ffAANMrbSlS, ST- LUCft COUNTY, AND 'BEM V'MF yEES IrX#<)M ,AM ZAABYL.D"iIES AND CLAIMS OF ANY TYPE OF NATUJW YW'CR I'1'YA►Y A,91SE 1VOW OR IN l''D`M FUTURE OUT OF TM6 kANSAC ION, INCLOHNG +ANY DAMAGE IC'K MA'tt' BE INCUMM D DUE TO THE DISCONNECTION 41? ELEC"UCAY,, POWER IN MW EXENT OF VIOLATION OF TIM AOREgiV NT. st.Cpusu rdevi" agog Colo �a� eriri�a�lrtoa awr RECEIVER ►^"� ��$ �.14 Z966SOZZLL 00:ez 0194 Z.Z/Z$ 39dd JNIlOV�UNOO OWL' t860£8zztt LZ:£Z bTOZ/ZZ/T0