HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE06-13-'19 11:00 FROM-
7728787656 T-638 P0001/0002 F-022
A34M.
6S FaC'"23 "2-6443
in-
DAM
ft-OdAddM= A
THE UNDERSIGNED HEREBY REQuESP RELEATfSE OF ELE mcAL POWER -ro THE ABOVE DESCRIl367
PROPERTY, FOR A PE WD NOT TO E)XW MTY.(30)-OAYS, FOR THE PLIVOSE OF78MG SYSTEMS
Al t > QtSPMENT iN PREPAII'ATION FAR A MAL.Ift1SPEG1 tCEN. IN ECINSTpMMON OF APPROVAL OF THE
IZ'&QUB3 fWE•HS'ACIeMOWLEDGEANDAteAS�fipWS:
I. 7NS tertgtorary power release is requesbed for ft above stated propose only, and tfte Wa be no
�Pancy ef any n'f±e, C ie ftn #tat P'ennitl ed Ear mi4ttu on dieing thts un* pertod.
2. As'w iess bbyy Dirt �traltr�s,"heft apee.fb abide byaA idd two and aorons of Ws agreement,
lnctutfng BiAcgrg Dwon F.bricy, which is incorpotaw herein by reference.
3. AlicondlUbns'and r uiraitiertts its d In Uie at tkbed docurhMt entdied R04ufremeFbIbr 30 Day
Power f0rTB9W havebean fWMed and U-i premise is readyfor =npliiance•inWwon.
9 Ail *nests form eXtengon beyond 3a days mast ke:made in miff to the Bie7drrg aucial stating
the lea m' for Ute' POW may be MmOveff am the site aniffor a Stop VWorkodar issued if
Ole Mud Drspeaton has not been approved WMIn 30'days A fee of $YOD,tif) will be required to I@t
Ute Stop Work Order.
WE HEREBY RELEASE -AND AGREETO HOLD FPA& LrSS, Tr LUM ODUNTY, AND THM EMPLQYEES ftM
ALL LiA B�,if1ES ANQ .CLAIM5 DF AfN1"fk'RE OF NA7IIRE IAY #CH MAY ARISE lNQW OR Iftt THE RM. M OUT
oFT TR$tin.5A.0 ION, INCLt91�1G �1rt'! iD; iAGE tifOaallcri MAY 83E WaAM I UE Tn 7HE
DISEONMCMN OF SEMICAL POWER IN TH£Br I ff OP Vii .LM70N OFTWiS AKPFEENt WT_
JUN 13 204.
Permitting Department
St. Lucie County, FL