HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE05-23-'19 11:14 FROM -
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7728787656 T-545 P0001/0002 F-872
eve ap w giv
Fc-M-772-41S!-'64-43ipevmi'jf"19 te ,,artment
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Permit NOm- ber.
THE UNDERSIGNED HERESY REQLIES7 RELEASE 'OF ELECTRICAL. POM TO THE ABOVE DESCRIBED
PROPERTY, F09 A PEMOD -NOT -ro. gXCE IR TH EROFTESn'NG SYSTEMS
ED TH . rY.(30), AyS, Fop, E pU '
ANP EQUIPMENT IN OREPARA-aON FOR, A P714AL INSPELtION. IN COW_Z;EMTj0N OF APPROVAL OF THE
AEQUMME-HSZEEAM
�Y * ** *
.OVREWEAND AOAMAS FOLLOWS:
I- 7h!-s b3MOrarY POwsr rO6m is Mqueftd fbr tho aboye wed pu , gmm -
orb, and etere va be no
c=;mnc_y Of any tYPe, Other than that PerMitted by cohsbvWon'd*udng this time period.
2. As vftess by our $it rtatu *. We horebyagiee th abide by aff tei ins and conditions of this agmemet,
indtldlft Building DWon Policy, which is incorp6rdted hbrb by reference.
3. All conditions and requirements 111SWIn the attc 0-ed do =-ent entitled '"ReciLdrements for 30 Day
Pow& for Testilig' " havwbe.Lm fulffled-ind the. premise is -mady for compjibrice inspection.
4- MI request forart extwwon beyond 30 days must be:made In Wang to thtk Suilcling offidal stating
the reason' for no request- P*er .nay b 'r
. e removed -'from the site an4for a Shop Work Order issued if
bM Rm6l'InspeWon hat not been approwid within 30 days. A fee of $100.0o-vaj be Mbired to lift
the StDp Work Order. '
WE- HEMBY RELEASE AND AGREE To HOLD HARMLE-cig, ST, COUNTY, AND THEIR EMPLO
ALL 'LlOiLITIES 'AND CLAIMS'.'C)p ANY TypE: OF' LUCIE C .YES FR6M
NATURE WHICH MAY ARISE NOW OR IN THE SnURE OUT
OF *$M�NSAMQN, INCLUDIN�M.YDA*�E'W:,T4ICfi.-*'..MA-Y BE INOAW.D OUE70 THE
DISCONNECWN OF ELWrR1rAL poweg IN THE EVENT' Or' MiAT-16NOF -MS AGREVENT.