HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE04-04-' 19 11 :10 FROM- .7728787656 T-323 P0004/0010 F-500
2314OV-041-09i a Ave
Far
Requeittfor 3.01- Mim Wry
Date:
Permit Nilmber:
Projed Address.-
h RECEIVED
APR Oh ')"Iq
Permitting Departure.;
St. Lude Cn—f-,
it :Ref se SCANNED
By
_06 C-1880tv
THE UNDERSIGNED HEREBY REQUEST I
RELEASE or- ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOP, A PMOD'NOT TO EXCEED THIPTY.(30) - ()AYS, FOR TA, E PURPOSE Of" ' "
I NG SYSTEMS
AW EQUIPMENT IN-PREPM-A70N FOR AFINAL INSPEMON. IN CON67DEMTION OF*IAPMVAL OF THE
QUEST WIE-HffaYAM-OWLWtE.ANDAO�E-ASF6LLOWS;
1, This WApmry pow qg6m is.
octuParequo
fore abve s Wd p-
-odyandb eeAbe
ncy of any e, Oer than that pem9ued I / 04cdonperiod.
no
ck:ling ft tim�!
2. As withess by our siqnmms, ft hereby "
. agree U) abide by aft tents and condlHons of this agreemert,
inclUdlftP Building Division Pbricy, Whim. is jftc6rp0MW h6rein by ro�erenw,
3. Alf condfths.and reWlrementsftted in the attached docu'ment . edReqLdrements -for 30 Day
Power for Teri ngO have bm the prem. Lte is -ready for mplMcejnspeWGn,
4. Ml'r*qtmsJs fbr.an, extension beyond 30 days met be. made in for
to the Bulkffng Official stating
ft reason' .for the requimt Power may be mmolffidlrom the site an Jvr a Stop Work Order issued if
the
F4nait hWecuon hc-js not bieen approv6d within 30 -days. Afee 04100.00will beregUredlo lift
the Stbp Work Order. ' I
we HERBY RELEASE AND AGM TO HOLD HARMLM, ST LUaE C'OUI T,,. AND THEIR EMPLOYES
ALL UAGIUYIES AND CWMS'. FROM
OF ANY TYPE OF WHICH MAY A NOW OP. IN 1-14E R)TUM OUT
ME
OFTHIMANS'ACTIQ
%.INCLUDINO ANY DAMOE*H: k 13E TN DLE TO THE
T D I 'ON _ n
=06�NE=N OF ELECTRI CAL PowEK IN THE E.VEW, J TM A-GREEMW.
DATE
Ili
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