HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE08-19-'19 14:21 FROM-
7728787656 T-867 P0002/0002 F-423
04902 g 1019
5 FaX772=2-6443 AUG l .
per SCttLu 1e ��� � ent
Permit Mimber <4erry�O
A
Project
ddress; 04
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL, POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO FXCEED THIRTY; (80) DAYS, FOR THE PURPOSE OFTESfING SYSTEM
AND EQUIPMENT IN PREPARATION FOR A FINALIN! Piiii {SN. IN CONMERATION OF APPROVPi OF THE
• r�isT WE HAY ACENiOit�Yl:�6E A�Ji7 AIYIEE AS a4i1.#.OV�15:
1: Tnis temparary power Wease is MWestr d turtle eboue stated purpose only, aid them VA be no
ocaVancy of any type, other than that permuted lly notistrud9on during this time period.
2. Asvrilltess by ours r®Wres, we her y agr2e.fA abide i?y atl terms and mnddSons of tivs agreement,
Incittft Building DM§on.Policyr which is incar�&d herein ay rderenm
3. All conditibm'and requirements Im in the #Uia red domrhent erditied "Requirements for 30 Day
. Power'for TesMg" have been fulfilled and the premise is ready for compliance.inspecuon.
4. All r2quests for an ei(te7lSiorl beyond 30 days anust be made in wrtirng to the Bu fling Official stating
the rearon' for the bequest Power may be removedf m the sib; and/or a Stop WorkOrder issued.if
the rJnal' Irrspection has not been approved Wfftn 30'days. A fee'of $100.Oti will he required t o iiFt
the Stop Work Order.
WE HEREBY RE_FASEAND AGREE TO 14o.Li5 HALRMLFSS, Sr LU,CIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LE4BIL171ES AND CLAIMS DF ANY TYPE OF MTURE 1A MCH MAY ARISE NOW OR IN THE FUTURE OUT
OFTIII.$ TRANV A.CrION, INCLUDBVG A VAI ACE1t TQ1 iNAY BE INCURRED 6UE TA'iHE
DiSCONNEOF ELECTRICAC POl dER jt• TW EVENT OF VIOL 71ON OETHIS AGRFEMI'r.