HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE04-04-'19 11:09 FROM-
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772-462-2-deS Fax
Requegffor 30-Day Temporary P0,
Date: Pem. 1tW)mber-.,\
Project Address; 4:�Oq
R-elease
THE UNDERSIGNED HEREBY' REQUEST RELEASE OF a.ECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT Tip I!XCEED THIRTY (,30) -PAYS, FOR THE PURPOSE OF"TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOP, A .FINAL INSPECWN. IN CONkMRATION OF APPROVAL OF THE
REQWE5� T WE''HERSY ACkNOWLENR -AND AdKE8-M FdLLOWS: I
1, This tenWrary power release Is requested for the above sated pug mse only, and there wil, be no
occupancy of any tYPA Other than that permitted bytote ftWon dt ring this time period.2. As witness by our sigm wres, We herey agree to abide by a tehYis and conditions of this agreement,
Includifig Building Division Policy, which is incorporatedh here" by reference,
3. All coqdftions and requirements. ffsted* In ft at[A0ed document entitled "Requirements for 30 Day
Power for Teftqff ham been ftilftlied'4nd the premise Is ready for compliance inspection.
4. Allrequestsfor an extension beyond 30 days must be• made in Wflu W e omcfal stating
the reason for the re W Ing
. qu.est ft�wer may be Mmvedftm the site an Ifor a Stop Work Order issued if
the Anal Inspection hat not bie-en a.pprovLad within 30 days. A fee 0: $100.00,W111 be reqUired to lift
the Stop Work Order.'
WE HEREBY RMWE AND AGREE TO HOLD HARMLESS, ST. WCTE 0OU I AND THEIR. EMPLOYEES FROM
y
ALL MUMS AND CLAIM50F ANY TYPE. 05NAT.U;�E "jiG.i MAY E OUT
A& NOW OR. IN THE RMTR
OF THIS TRANSACTION, INCWDINt ANY DAMAGE WH i .
ICHNAY 13E IfVCU D DUE TO THE
DLSCQNNEC=N OF nECMICAL POWER IN THE EVENT OF)90LA17ON S AGREEMW )N br
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