HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE7728787656 T-546 P0001/0001 F-873
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Permit NtImberr l
UNDERSIGNED HERESY REQUEST RELEASE OF F. LECMCAL POWER TO THE ABOVE DESCRIBED
)ERTY, FOR A PERIOD NOT TO EXCEED THIRTY'(30) -QAYS, FOP, THE PURPOSE OFTESTING SYSTEMS
EQUIPMENT IN PREPARATION. FOR A:FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
jitr wE' !MEREST A0mbmEb.GE •AN6 AGREE AS FbLI olds:
I. This temporary power release is requesl9d forthe above Stated ptpom onij�, and eerie vm be no
a=pancy of any We, other. than that permitted by c:atisla'uciian during this time period.
2. / witness by, our sigr0tue'es, uve hereby agree to abide by all Perms acid -conditions of this agreement,
including Building Division .Policy, which is Inco orate'd hexeln
3. All conditions'and requirements iistAd in the at�hed tl4cumen entiided "�
Requirements for Sd pay
Power for Testingff hi ve been fulfilled and the premise is ready for compliance inspecdon.
4. All *tffists fcr an a denf ion i iawnd 30 days must be.rnade in w►iting to the Building :Official stating
the rsasori fOr the request, Power may be removed -From the slite. and/or a Stop Work.Order issued if
the snal inspection has not been approved within 30 days. d 'fee of $100.00 will be required bD lift
th6 ftp Work Order. .
HEREBY RELEASE AND AGREE. TO HOLD HARMLESS, Si ; LUaE COUNTY, AND THEFR EMPLOYIrFS FROM
LL4RX TIES AND �CWMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
r i s Ti N�ACrIoN, YNCLUUiNG A I'Y DA*f GE'VVil: MAY BE INCURRED 15L)E TO THE
:AlVlsi Ol�i OE ELE TCAL POVVE IN- THE EVENT bF WOLATION OF THIS AGREEMENT.
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