HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE4-04-319 11:12 FROM- 7728787,658
BY
.(---"T-323 P0009/0010 F-500
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Ave.
A' '34-0192
41165 Far
.Riq.Ui9i'f6r3.0';6jyT:0
PeWFt Wimber.
,Addrem
RECEIVED
APR-, 6 j mv
13 Permitting Deparu;
St. Lucie Cnjnt,
UNDERSIGNED HEREBY REQUEST RELEASE OF MMMM POW�k TO THE A13OVE DMMMED
�ERTY, FOR A-PEROD:NOTTO EKf;EEDjMTy (20).WyS, FOR EPURPOSE OF'YESTING SySrEMS
e
EQUIPMENT IN PREPARAIICN MR AFIMUNSPEMON. IN CON N, OF'APPROVAL OF THE
IEST WE'Y At 0KMEDGE -AND ACM',AS SOWS:
I
I. This WVOr4Y powerreleaseIS Aquestlzd f6r the abm shied purpma one, and fbe m
QqcU0anr-Y Of any We,'Puler ftn that permlftd bycohm. Won -dk ling this tin -A period.
2. As witness by .our slqrpkips, ya hereby agroe M abicte by tlttsfts aril whdotions of his agreemerit
InclUdifig Building cusion Policy, which is Inc6rp.6rated h6ein by mce.
3. All conditions. and requirenents rjsb�d in the attathed do=* ent en!.4 I RPAWrMenN -fbr 30 Day
mp
P=0 far Testing" nave been fulfilled and the premise is -ready for cpmp11W1Ce inspection.
4. Al -requests oranextension beyond 30 days =stbe:made in wrung tothe Building official swung
the re*n'fbr the mqqe w
sL -P69ver MO be removWlraro the sftft an /or
a ftP W01t Order issued if
the FIMI'DupecUon has not been appmm3d within 30 days. Afee a $100.60'MllbereqWredtowt
the ftP Work Order.' I
HEREBY RELEASE AND AGREE TO HOLD HARMLESS Sj: LUCIE 0 AND THEIR FMPLQYEES FR6M
VABAMES AND CLATM9 - OF ANY TYPE. Or-.'mAmj jj� WHTCH r4Ay. ty NO �AYA. �NOWORINTHEFUnMOUT
rM TRAN-SAMON, WaUDIN� ANY DAA�� Bt INCH
D QUE TO tHE
Nisi NOF'RE'CTkCAL' POWER 1N THE' EVENT OF VX OF THIS AMMMENT.
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DATE