HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE4-11-'19 12:39 FROM- s 7728787858 T-344 P0001/0006 F-541
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Request for 30-Day Tempordry Powef-RdIeUe
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UNDERSIGNED HEREBY REQUEST RELEASE OF ELECFFZTCAL POWER TO THE ABOVE DESCRIBED
�ERTY, FOR A PERIOD NOT T+0 EXCEED THIRTY (30) -DAYS, FOR THE PURPOSE OFTESTING SYSTEMS
EQUIPMENT -IN PREPARATION FOR A FTNAL.INSP:I =N. ITV CONkDERATION OF APPROVAL OF THE
ice' we miinw AOiCNowI.eba AND AGREE As FbLLows:
3. This iempoiary power release is requested for the above sued PurPose only., and tee will be m
optupancy of any type, 9ther than that permitted by bofisbutUon during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy, which is incorporate hemfjn by referenm
3. All corxiitlons'and requirements. fstM In the atiaded document entided "Requirements for 30 Day
Power for T.esUngA have been fulfilled *and the premise is ready for c:Dmpliance inspection.
4. All requests for an adension beyond 30 days must be,made in writing to the Building Wdal stating
the reason for the c?eq. M Power may be removed- from the site and/or a -Stop Work. order issued if
the Final Inspection has not been approved within 30 days, A fee 6f $100.00 will he required to lift
the Stop Work Order. .
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LLJaE COUNTY, AND THEIR. EMPLOYES FROM
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ABTLiTtES AND CLAIMS OF ANY TYP E OF NATt;IRE WHICH MAY ARISE NOW' OR int THE FUTUtE OUT
IS TRi1NSAGTION II�ICLUDinfG ANY DAi!�AG� VUHi�tiAfiVEO'#`iON OF M EC3�tICx1� POylil= iN THEE 4✓El�i�" OF �liaLATiOI�i OF THIS i<#GREEM�IIT