HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE04-04-'19 11:11 FROM-
SCAMME—D 17728787656
T-323 P0006/0010 F-500
Aare
FO p
Ot iefm, P04092
772146i_4 FaX
Requek,for 30-Day Ternparmy.;
Dgto: I Nl._A� , perffft Imft. be' r.
Projed Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL p0W
PROPERTY, FOR A.-PEK, PERIOD
9QUIPMENT IN PREPARATION FOR A.MAL INSP.E=. N. IN CO'
REQUE5TWE-H115ROW, ACWOWM�E-AND9-*kE8-AS.FdLLows-.
Th'S W'Wr4rY Pmw r4dam is- Mquesl*d lbr the above stgm px
occupancy of an Lie, other man tiat peffnMnd bycofo=on
2. A y
s witness by our t19WdWMS, W$ hereby agree to aoide by all terry
Indt'difig Eli(ding Division Policy, wt9ch is incorpbr',AW b6zein by r
3- All candftns, and requhment-, listed' in the atththed document er
Power for Teong " have -,bei'n MIled'and the premise is ready lbr
4- Al h4uesft forpri• oftntion beWnd 30 days must be:rnade in writ
the reasoa kr vie request. -Power.Mak be're
moved fr9m the sitethe j
Ant'= het not been approved whin 30 days. A fee
the Sbbp r.
VVE HEREBY RELEASE AND AGREE TO HOLD HARM
LE n, LUM COL
ALL LIABILMES AND CWMS�-OF ANY TYPE 0 F''NAM. WHICH - Al
MAY
DAMAGE 11SA "XWMAY SE' IN
N CT'pNAMLCUA4MP4jWty IN THE: EVENT- -OF VIdiAT-701
O'T� =. OF
MW
$8mic" I
�hblvwftlfl -
RECEIVED
4Mq
Permitting ()epartmef
St. Lucie count:;'
it Aeb&se
TO THE ABOVE DE SGMED
PURPOSE 0F`TESn-NG SYMMS
MM-rION- OF APPROVAL OF-n4E
0*, and twe WM be no
ng this IJM6 period. I
rfd COMMons Of this agWmert,
,ence,
!d "R ulrernentsfor 3D Day
nplibace inspection
to the Building Offidal stating
or a ftP Work Order issued if
M0.00-vall be regigred-to wt
AND THEYR EMPLOYEFS FROM
NOW OR IN TMF_ FUTURE OUT
W DUE To 7
HE
THIS AGPP2MEU,,
V, ct
DATE
DATE