HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE04-04=' 19 11 :10 FROM— 7728787656 T-323 P0005/0010 F-500
A !a
. I ve,
A14092.
65 FM'
Requti�i*fbr 30-1* Temporary
Date:
Pr*d Adds; .9, \.—q is
Peraft Xf1m, ben
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTPICAL POV
PROPERTY, FOR A PERIOD *NOT T6 EX01M. D THIRTY (30) -qA'y-S, f:OR
AND EQUIPMENT IN PREPARATIoA FOR AFNAL INS�EdfiON IN
'AMU EtT WE -HEREBY AOMVi�66i AND AGPE8' M
I. 7h1s tmMry poWyeldM Is.n4luesW for the above sited p
oceppancy of any typ,
,e ether than Mat pemfdvd by .Go on 1
2. As witness by.our Marpturo, We he"by agcr.ae tD abfde by alt tern
irKJUCr1rQ Building Divielon Policy, which is Inco*r&W herein by y
3. All condftns.and r�uimmerft:ftsWjri the atta&,ed. d0aimenter
Power for TesUngff hwe been juflged'and the premise is ready for
4. A-11'rt4uaM for -an extension beyond 30 days Must be:made in writ
the reaOnfor the request •power May,*bd r-pmoVad:Trqm the $L-. i
the AIM' Ynspacbort has not hwnaPPr0V6d WMIn 30 days.' A fee
the Stop Work Order.
WE HMESY RELEASE AND AGREF-Th HOLD HARMLESS, ST. LuaE GOUT
ALL LJAMLMES AND aAlM -OF ANY TYPE OF'NATURE WMCH MAY AP,
OF TKS TRANSACTION, INCLUD0413 MY 64*j�f-*,141CKMAY BE INd
vik6imtoly ap mEcrRIcAL POWER, IN THE M, MT- OF WOLATION
01.
st, RECEIVED
APR Onlq
Permitting Department
St. Lucie County
"rneha4se
� - Q �9R
SCANNED
fn \\ 17
St. Lude County
TO THE ABOVE DESCRMED
PU9POW OFTESiVG SYMB4S
108ZATION OPAPPROMAL OF THE
only, Md1herewfilbano
this timt per
conditions of Its agrwmerit,
'd "'ReqUh.mffits for 30 Day
qplibnC6 jnSPeCb0rL
to the BtAft Official sWting
br a MP Work -Order issued if
�100-00,wdf be reqL,dred to In
AND THEIR EMPLOYEES FROM
NOW OR IN THE FUTURE OUT
ED DUE TO THE
' TJiJS AGREEMENT.
DATE