HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE-'19 12:04 FROM -
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SCANNED
BY
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Permit
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T-442 P0006/0006 F-710
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772-462-6443
PdWer -Reftise
UNDEPMGNED HEREBY REQUEST RELEASE or ELEC7MCALI POWER To THE ABOVE DESCRIBED
)ERTY,
FORA-PEMOD'OT N TOEX . Cq.-THI -PAYS, � P, THE PURPOSE OFTEShNG SUMS..e PITY.(30) FOR
4QUIPMENTIN PREPAMTIQN FOR AR14ALINSPEMON. IN CONSIDERATION OF APPROVAL OF THE
1, Ttis teff4WZIY POM YOM is riaqueM fbr the above
occupancy of any type,, 9ther than tmet per m. g-ted bypWist
2. AS witness by Our O*Mhibos, ft hereby agree tb abicla by
indudiiig 8.0ding. Division Policy, w hich is incorpdrdtied h6t
I All conditibns.and requirements listed' in the aMtoed decry
Power for Tetffng'-Mve.been- fulffiled- I
and thepremise is.
4. AJI'MqluIbran. e9tention beyond 3o days must be:mad,
the reason for the request -PoWer may biremevwfrom b
the FinafDwewon heft not been . approved %Wrftn 30 days,
the ftP Work Order, '
rtM PUYPOM- o*, and i:hee Will be f4
fiction u,Hftg this time Wjo&
dff#-7 aqd coddfdoris of thit agmemerk
in by reference,
lent wWed"R9quhw-qent5 for 30 Day
idy for compritrice inspec . ton.
in wrrdng to the Building 0McIal suing
site. ano/br-a §topW0r-k.CjrdLr issued fl;
A fee of $100.cfo, will be reqigred to lift
My RELEASE AND AGREE TO HOLD HM'vUM ST. LUdE COUNTY, AND THEM EMPLOYEES FROM4VUES AND -CLAI90F ANY TYPE OFNATUE iYHICM MAYAME NOW ORIN THE FBIrM OUT
TPM-'. SAMON, -INCLUDW3 ANY Dk�- G-E INe"
BE UR IRD DU
E . UE TO THE
4kwiv OP'E'LECTMCAL I.M E-vW OF: Vllb�AI-16W OF THIS AGMMEIT.
EYATE
DATE
DATE
p C 1 '711 mvv
Z=
Y MA ! 12019.
Permitting
Permitting Department
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StSt. Lucie County, FL
Lucie
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