HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE05-20-'19 09:30 FROM-
7728787656 P0001/0001 F-845
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F.6 Pies e .66" - A14482
772-4624ift FaX 772-46.2-6443
R-eqU64:01be 30-bay.-Tem. jp-ord riy. PiDwer Release
Date:
Pied Address;
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Pemit 'N(Imber.
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RECEIVED
MAY 2 0'.701.9
Perrnitt' -' 'Part,,, $t. Lu,F cle CouOL
UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER 70 THE ABOVE DESCRIBED
DERTY, FOR A PERIOD NOT TO EXCEED THIRTY' (,30) DAYS, FOR THE PURPOSE OF'T1=S i N'G SYSTEMS
EQUIPMENT IN PREPARATION FOR A.FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
JES7 WE' HMSY ACP< 40WL.EO.tm AND AGREE'At r-bLLOWS-
1. This taWorary power reldase is requesW, for the above stated purpose only there -
m ,and OtWiflbeno
a=pancy of any type, other than that perMitbaad by coi!#rqcdon during this time petlod.
2. As-withess by our signatures; We here -by agree to abide by. all Perms and -conditions of this agreement,
indu.dihg f0ding DMslon 1*611cy, which is incorporated herefn �y reference,3. All conditions and requirements Hg(*d in the attached document entitled "Requimmentq for 30 Day
Power for Testingn'have been fulfilled'and the• premise is mdy ibr compliance inspection.
4. All requests for an edeiWdn beyond 30 days must be:made in writing W the Building offidal stating
the, reason for the request Power maybe rerboved from the site and/or a -Stop Workorder issued if
the Final Inspection haS not been approved within 30 dap. A fee of $100.00 will be required to rift
the ftp Wbrk Order. . '
WEi HEREBY RELEASE AND AGREE TO HOLD HARMLES,�, ST. WaE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIADiLmES AND -CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE N
OW OR IN THE FUTURE OUT
'�THI� TRAN INCLUDING ,H MAY BE INdIRRED OUE TO THE
OF SACTION, DINGAN 0AKA-GE'.W,1C.H:*
y
DISMNNEC7`10N OF ELECTPJCA!, POWER IN THE EVENT OF)A0LA7joN-()F Tfffs AGREEMEflT.